2012 2013 - policywise · pdf filemayra jarillo alvarado melissa foster nikki roft paula jones...
TRANSCRIPT
Most Significant Change Project Statement of Confidentiality
The original stories have been edited and summarized to omit confidential and identifying in-
formation. Only the edited and summarized versions appear in this report.
Glossary
CHANGE Change witnessed or contributed to at Discovery House—great or small, positive or negative, individual or
situational
SIGNIFICANT Open to interpretation by each storyteller i.e., “what YOU feel is significant” CHANGE
STORY A single account of significant change written from staff perspective
STORYTELLER A staff member that has written a significant change story
NARRATIVE A story and a summary of its discussion
COLLECTION All of the narratives collected during a project cycle
OUTCOMES The following are central to Program Evaluation at Discovery House and are used throughout analysis:
HOUSING Clients will obtain safe, stable housing
SAFETY Clients will be safe from domestic violence
HEALTH & WELLBEING Primary areas: i) Clients will engage in active treatment for identified health issues,
ii) Clients will demonstrate improved emotional well-being,
ii) Clients will engage in a developmental assessment and intervention
Secondary areas: iv) The client and staff member will demonstrate a positive work-
ing alliance, v) The client will demonstrate a readiness for change
SOCIOECONOMIC Clients will demonstrate a reduction in socioeconomic related disparities, including
income/family resource, employment, education, citizenship, and legal involve-
ment
FAMILY Primary Areas: i) Clients will be supported in their interactions with child welfare, ii) Clients will have access to child care when needed
Secondary Areas: iii) Clients will demonstrate positive family dynamics
Table of Contents
Project Overview
Most Significant Change Journey 2012-2013 P1-2
Project in Review P3-4
Our Most Significant Change
Learning through Example P5-6
Narratives for Final Selection
Overcoming Communication Barriers P7
Specialized Roles P8
Christmas Past, Present and Future P9
Transitioning Tom P10
The Journey P11-12
Short Stories
Nineteen Stories P12
Short Stories P13-16
Baby Steps Guiding Change
Change for the Entire Family A Family’s Future
Moving Forward Breaking the Shell
Full Circle Power in Numbers
Transforming Anger Learning Together
Family Meetings Work Regain Confidence after Domestic Violence
Getting to Day Treatment Intake Tools of the Trade
Queen’s Cupcakes Resiliency Becomes Reality
New Home Honouring the Courage to be Real
A Delightful Mother-Daughter Duo
Analysis
Reading for Outcomes P17
Talking about Change P18
Spheres of Influence P19
Complexity of our Clients P20
Reflections
The Last Word P21-22
Most Significant Change
Journey
2012-2013
Our MSC journey began in October of 2011 when first intro-
duced to the technique at an Outcomes Mapping workshop.
While we were not searching for a qualitative evaluation tech-
nique at that time, the approach did catch our attention as
one that might have a lot of utility and value for the agency.
Narrative is a very rich source of qualitative data that we often
use informally and we believed that MSC could help us to ex-
plore the richness of these narratives in a more rigorous way.
From our perspective, the value of MSC for this agency lies in
the ability to expand our program evaluation activities to col-
lect rich, individual descriptions of client change. In this way,
MSC has the potential to both shed greater light on changes
that we document through our traditional program evaluation
procedures, at the same time that it also has the potential to
articulate changes that have previously gone unmeasured.
Further, story collection, analysis, and selection activities are
conducted by the entire agency and this participatory aspect
of the approach lends itself to widespread learning and use.
It took some time, but with the help of the United Way of Cal-
gary, we were able to initiate a pilot run of the MSC approach
in September 2012. This pilot was driven by three broad re-
search questions that were:
1. What kinds of change does this agency consider to be
significant?
2. What do the stories and selection process tell us about
the underlying values and assumptions within the
agency?
3. What does an analysis of the process itself tell us about
how to best mold the MSC approach to the environ-
ment at Discovery House?
The report that follows seeks to highlight both the steps that
we all took to get to this point and to also share some of the
learning that has taken place. This report is the next step in
the MSC journey and we hope that you enjoy a look back at
where we have been to get a better sense of where we might
be going in the future.
The Most Significant Change (MSC) technique is a participatory evaluation technique that
uses storytelling to explore significant changes within an agency, along with the meanings
and values attached to those changes.
1 -
Pro
ject
Ove
rvie
w
Pro
ject O
ve
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w
Selection Process
FINAL SELECTION
COMMITTEE
OUR MOST SIGNIFICANT CHANGE
Final Selection - January 22
INITIAL SELECTION
COMMITTEE
↑↑↑
November 15
Selections
↑↑
December 7
Selections
↑
January 16
Selection
STORYTELLERS
↑↑↑↑↑
↑↑↑↑↑
November 2
Submissions
↑↑↑↑
↑↑↑↑↑
November 30
Submissions
↑↑↑
↑↑↑
January 4
Submissions
Report back to participants
Alison Casey
Allison Mclauchlan
Alyssa Geiger
Brigitte Baradoy
Carissa O’Connor
Cindy Holmes
Deborah Phillips
Diane Altwasser (United Way)
Doug Burden
Ed Rogers
Eileen Bell
Eliana Clay
Faiza Ahmad
Gladys Richards
Heidi Bragg
Hilda Lam
Janet Groom
Jannay Douville
Jaye Russell (Calgary Homeless
Foundation)
José Guillén
Leslie Hill
Lisa Sheldon
Mariam Mohamed
Mayra Jarillo Alvarado
Melissa Foster
Nikki Croft
Paula Jones
Raman Basi
Renee Wassick
Robin Peel
Sheena Furze
Tanya Rossetti
Tim Veitch (Calgary Homeless
Foundation)
Yvonne Chen
Participants
- 2
Pro
ject
Ove
rvie
w
Project in Review The Most Significant Change technique focuses on learning and reflection and, here, we share
some of the more important moments, decisions, and learnings from our MSC journey.
The original idea: 15 story submissions/month.
“What were we thinking? “
To include funders or not to include funder?
“We think it worked out.”
The first conversation in the first planning session started with Confidentiality.
“This remains the biggest chal-lenge for this project.”
Client stories vs. Case Manag-er stories about Clients.
“We ultimately got the latter.”
The content found in the sto-ries was amazing!
“We truly appreciate how invest-ed the storytellers were.”
Story length was a big issue.
“Did we want moments of change or more sweeping narra-
tives? “
Ground Rules!!!!
The intensity of the first meeting.
“Wow - that got emotional!”
Domains of change did not
work.
Lessons learned did not really
work.
No food makes participants
unhappy.
Commitment to the process.
“I was impressed by the selec-tion committees’ investment.”
First learned of MSC at a Workshop in October 2011.
“This is something we really wanted to explore.”
Planning Story Submission Selection Meetings
3 -
The Ebb and Flow of MSC
Pro
ject O
ve
rvie
w
Funders: “You do good work.”
Validation.
“..of the hard work and commit-ment of our staff.”
MSC Burnout.
Adding the frontline perspec-tive.
“We wanted to add their voices to the table.”
Change in the voting process.
“The two-stage concept was much better than the original.”
The story behind the story.
“It was a constant challenge to stick with what was written – especially when you knew the
cases.”
Learning for the administra-tive and operations staff.
“Learning was at the core of this entire project.”
The client was so proud and excited to hear the news that her story was selected!!!
Funders: “Thanks for trying
something new.”
Anti-Climactic.
“The process is more important than the story…and it does seem
to just tail off.”
The story sharing dilemma.
“A lesson was learned.”
Funders: “Thank you for in-cluding us in this project.”
Staff: “Thank you for provid-
ing a space to reflect on our
work.”
Staff: “Thank you for the chance to participate in this eval-uation process.”
Q: Future of the project?
A: “...it depends. What are you going to do with this?”
- 4
Feedback Final Selection Selection Meetings
When this client first came to Discovery
House, her self-worth was impaired due
to abuse and she had difficulty making
decisions for herself. She shared her
views with me about women in her cul-
ture. She said that women are not viewed
as being strong or independent and that
many women are abused by their hus-
bands. There were times that she
thought of returning to her abuser, and
she had pressure from her parents. But,
when her parents came to visit, they
learned from visiting Discovery House
that their daughter was okay, that she
should not return to her husband, and
that women should have more rights. The
client is very thankful for all of our sup-
port, for showing her respect, and for
helping her to believe in her ideas. She is
now more independent. Her parents saw
this independence as well, and she is
much happier with their support.
I always supported Ditka to make her own decision and re-
spected her. I didn’t know that respect could be so empow-
ering to someone that had not experienced that.”
Learning through Example
FAMILY
HEALTH & WELLBEING
SAFETY
Ou
r M
ost
Sig
nific
an
t C
ha
nge
Outcomes identified in analysis
Stars represent Final
Selection ranking
5 -
Ou
r Mo
st S
ign
ifican
t Ch
an
ge
Our Most Significant Change
Selection Talk
Initial Voting: Unanimous Initial Selection:
The ripple effect that can take place when we work with moms
Changes in this mom’s self-perception and perception of women had an intergenerational impact
Changes were to systemic and cultural beliefs Final Selection:
Discovery House promotes strong values of safety
With the right support, we can contribute to altering norms within a family
We have skilled, culturally-competent staff
We make a difference—across the world!
Final Selection Voting
INITIAL VOTE FINAL VOTE
Rank Score Rank Score
The Journey 4 85 3 130
Specialized Roles 6 40 6 10
Transitioning Tom 5 70 5 40
Christmas Past, Present & Future 3 105 2 150
Learning Through Example 1 290 1 270
Overcoming Communication Barriers 2 110 4 100
- 6
I have been working with this client and her
family for the past nine months. She immi-
grated to Canada and is currently taking Lan-
guage Instruction for Newcomers to Canada
(LINC) 1 even though she is illiterate in her
own language. At the beginning, it was diffi-
cult to communicate with each other and she
appeared very frustrated and overwhelmed. I
met with her twice a week sometimes for
two hours each visit, helping her to solve
problems with daily living. We went from me
helping her to understand what needed to be
solved and me making the phone calls, to
role playing and her making the phone calls
on speakerphone with me present, to role
playing and her making the phone calls on
her own. She has expressed that she is not
afraid anymore of solving daily problems,
that she feels more in control of her life, and
that she is proud to be paying her bills and
rent without external support.
This is a huge step for this immigrant woman who
was illiterate in her own language and is now trying
to learn a new system with new rules...”
Overcoming Communication Barriers
HEALTH & WELLBEING
SOCIOECONOMIC
HOUSING
Narr
ative
s f
or
Fin
al S
ele
ctio
n
Selection Talk
Initial Voting: Not unanimous Initial Selection:
Tasks that may seem trivial (making a phone call, paying bills) can be places for truly powerful and meaningful change (overcoming learned helplessness, building confidence and life skills, mom learning to stand on her own)
Discovery House as well-positioned to work with immigrant women; in this case, assisting client with culturally-rooted questions of identity (moving from “wife” to something new)
Final Selection:
We work with real people and the reality of their lives
We communicate through barriers and are well-positioned to do so
Commitment to clients and process
7 -
Specialized Roles One of the most significant changes I have seen in the past few
months at Discovery House is the addition of the Housing Liaison
role to the Community Housing Program. The Housing Liaison role
allows us to work more seamlessly as a team with each client, sup-
porting us to intervene early in tenancy issues and to more effective-
ly prevent evictions for our clients. The role has also been a signifi-
cant learning for the program, in that it has been filled with an indi-
vidual whose background is not in human services. As such, it has
required us to clearly delineate roles within the team, and to ensure
that the individual in the position has adequate training to effective-
ly deal with the situations and clients in the program.
The role has also been
a significant learning for
the program.”
HOUSING
Narra
tive
s fo
r Fin
al S
ele
ctio
n
Selection Talk
Initial Voting: Unanimous Initial Selection:
Complexity of working with our clients and necessity for foundation/orientation in human service
Importance of role delineation Final Selection:
We are an experienced agency that understands the sector and that seeks out specific ex-pertise
- 8
Last winter, this client had just moved from another
province, had no job, had just left an emergency shelter,
and was really struggling to pay bills and rent. At Christ-
mastime, I told her about the Adopt-a-Family program,
and her and her three boys were able to make a wish list
for Santa. This year, she expressed how thankful she
was that Adopt-A-Family was there for her last year
when she was in great need and that she no longer
needed to access the program. She also expressed that
next year she would like her and her children to adopt a
family, to give back to the community all that the com-
munity had given to them.
Christmas Past, Present, and Future Change takes time, and
families sometimes need a
little assistance in order to
realign after facing home-
lessness. The little things
can be very meaningful.”
SOCIOECONOMIC
Narr
ative
s f
or
Fin
al S
ele
ctio
n
Selection Talk
Initial Voting: Not unanimous Initial Selection:
This is a big-picture story, showing how small steps add up
Is this story really about presents or about maintaining the role of a parent while in crisis? Final Selection:
We provide skills to become self-sustainable, tools for healing, and ability to look forward Client’s desire to give back as a positive reflection of Discovery House
9 -
Over the past three months, I have worked
with a six-year old boy who has seen many
positive changes. I have spent time rela-
tionship building with mom and him, so he
would know and trust me. We also spent
time doing things that he likes in many
different environments (inside, outdoors,
at home, at school, in the community),
which has helped me to see his strengths.
When we started our sessions, he dis-
played many aggressive behaviours. He
would call me names and would cry be-
cause he did not want me to leave. He now
seems to be able regulate his emotions
when things are put away and when ses-
sions come to close. He still has difficulties
when I leave, but there is no longer crying
or name calling. Instead, he asks if I can
stay longer and tells me how much he likes
playing together.
The change in his ability to imagine, play, laugh, engage and
respond was incredible from when he is inside than when he is outdoors.”
HEALTH & WELLBEING
FAMILY
Narra
tive
s fo
r Fin
al S
ele
ctio
n
Selection Talk
Initial Voting: Not unanimous Initial Selection:
Stability and consistency as precursors to relationship-building and trust; it takes time
Going to the client instead of making the client come to us (at home, the park, coffee shops, school, outdoors, doctor’s office, public)
Final Selection:
We understand the resources we need and hire the right, competent people
We are a strength-based, learning organization
Transitioning
- 10
When I first began to work with this client, she was
very shy and withdrawn. It was often hard for her to
engage and she kept her experience close to heart.
She often stated that when she was in Calgary, she
wished to be back in her home community and when
she was in her home community, she wanted to be
back in Calgary. With time, the client began to attend
more sessions and to contact me when she wanted
to process out situations she found herself in. Later,
she went to her home community to visit family, lost
contact, and then reached out about a month later.
She was contemplating moving back to live with her
mom and dad so her youngest child could begin pre-
school there. We talked about the pros and cons and
how she would keep herself safe. The client stated
that working with her CHP team was the first time
that she experienced trust with a system, like she
could speak her truth and feel supported. The client
has returned home. However, it is my belief that we
planted seeds of change.
It isn’t about solving the problems our clients face but walking
alongside them and giving them a chance to develop and experi-
ence decision making in a safe, trusting and supportive environ-
ment.”
SAFETY
HEALTH & WELLBEING
Narr
ative
s f
or
Fin
al S
ele
ctio
n
11 -
The Journey
Selection Talk
Initial Voting: Not unanimous Initial Selection:
Significance of an Aboriginal woman trusting an agency represented by a young, white woman
Case Manager supporting her in understanding her options and in staying safe, regardless of choice
“This is what it’s all about.” Members familiar with the frontline felt that this story is representative of what they go up against every day
Final Selection:
Discovery House provides ways of thinking about being safe, not just shelter
Discovery House as culturally-sensitive/aware
Staff skilled in letting clients self-pace, relationship-building
Sh
ort S
torie
s Nineteen Stories
Note on Voting Process
We experimented with two different styles of voting to see which would be most appropri-
ate for Discovery House. The first method was open and fluid, where committee members
placed checkmarks on flipchart paper that could be changed throughout discussion. The
second method was more structured, using two rounds of secret ballot scorecards to sand-
wich discussion. In both cases, votes were changed after engaging in discussion about why
committee members thought specific stories should go forward. In this way, voting not only
personally subjective; it was also influenced by committee composition.
The 19 stories that follow are summarized versions of their originals, adapted with the aim of making them more accessible.
(A report with 25 full narratives would be a long read!) Please keep in mind that although these stories did not make it to Fi-
nal Selection, they were a meaningful part of the process and often focal points for discussion. Perhaps in another MSC uni-
verse with differently balanced committees, one of these short stories would be our Most Significant Change.
- 12
Sh
ort
Sto
rie
s
Short
Stories
Baby Steps
This client has been struggling a lot since being in our pro-
gram, and even though our support was there, she wasn’t
utilizing it. When she finally realized that there wasn’t any-
thing that she could do that was going to scare us away, she
started to trust us and was open to our support. Her beginning
to connect with us is the beginning of her making steps to-
wards the goals she has for herself.
Change for the Entire Family
When this family entered the program, mom’s primary focus
was on one of her children who had severe behavioural issues
and required a lot of time and energy. However, as months
passed and the child’s behaviour improved, mom was able to
see other things and to set other goals. By taking it one step at
a time and working on the present issue, a shift took place
that created room for the family to continue growing in other
areas.
Moving Forward
This client had a good childhood upbringing and was unfamil-
iar with abuse, so when her partner abused her and her
daughter, she didn’t know what signs to look for. What is
amazing about her story is that she wanted to change this by
educating herself about abuse, its effects, signs to look for,
how to protect herself and her daughter, and the resources
that she can access. What an amazing and courageous young
lady!
Full Circle
Not that long ago, this client was picking up the pieces of a
broken home and setting new roots in the community. She
approached life day by day, only being able to handle the de-
mands of her life and her children on a 24-hour snapshot.
Today, her world is much different. She is reinventing her nar-
rative— no longer identifying as a victim, but as a survivor;
seeking out resources; and engaging in community activism.
Transforming Anger
This client felt very depressed when she arrived at Discovery
House because, after only one month of being in Canada, her
marriage had broken down—something that conflicted with
her cultural beliefs. However, she turned her anger and self-
blame into self-determination and, with the help of her Case
Manager, was able to access community resources. She found
a daycare, applied for a parenting order, sought Legal Aid
counsel, got her driver’s license, found a part-time job, and is
now volunteering in research related to her profession.
When she finally realized that
there wasn’t anything she could
do that was going to scare us
away, she started to trust us
and was open to our support.”
However, she turned her anger
and self-blame into self determi-
nation and, with the help of her
Case Manager, was able to ac-
cess community resources.”
13 -
MSC 2013—FINAL SELECTION
Sh
ort S
torie
s
Family Meetings Work
This family had been here for five months and still did not feel
comfortable enough to disclose what they were feeling. When
separate from mom, the children reported that everything
was fine. However, when the writer met with the whole fami-
ly, they began to open up about their true feelings on how
certain aspects of their lives were creating stress, which in
turn had been expressed inappropriately. Together, we came
up with a plan to address some of the concerns. Since this
meeting, the family reports having better relations, having
made more time for each other, less verbal altercations, and
no physical altercations.
Getting to
Day Treatment Intake
This client has experienced all kinds of abuse throughout her
life, which has led to her struggles with mental health and her
use of substances to cope. Approximately one month ago,
Child and Family Services mandated this client to attend day
treatment due to increased drug use. After a number of weeks
of cancelled attempts to attend the intake appointment, we
went together this morning. This change is incredibly signifi-
cant because the client has struggled for years with this area
of her life and because—even though it is being “forced” on
her—she is excited about day treatment, which shows a hope-
ful shift. The road forward may not be straightforward or easy,
but she is beginning to make steps forward and to make fewer
steps backward.
Queen’s Cupcakes
After an upsetting incident with her father, this client became
quite subdued and not her usual sparkly self. However, in one
of our weekly sessions, she told me that she wanted to start
meeting twice a week so that we could spend one session
baking together. In our first baking session, we made cup-
cakes. When we were done, the client carefully carried them
out to the elevator, as if she were carrying a plate of precious
jewels. I asked her to give me one word to describe how she
was feeling and she said, “Proud!”
New Home
This client moved to the city from a reserve for safety and for
a new start; however, she had concerns about her housing
situation. After six months, she began taking steps to address
these concerns. Even though she was very anxious and need-
ed support in the process, she was able to advocate for her-
self and to ask for her needs.
A Delightful Mother-Daughter Duo
This child was quiet and shy in our sessions for the first six
months or so. Then, one day she just opened up and we had
some amazing conversations where we were able to process
her thoughts and feelings about the violence that took place
between her parents. This opened the way to a healthier rela-
tionship and more open communication between her and her
mother. Now, her and her mom find joy and excitement in
their relationship with one another.
I asked her to give me
one word to describe
how she was feeling,
and she said, ‘Proud!’”
Now, Nichole and her mom find
joy and excitement in their rela-
tionship with one another.”
When the writer met with
the whole family, they
began to open up about
their true feelings…”
- 14
Sh
ort
Sto
rie
s
Breaking the Shell
Since her move to Discovery House, this client has broken the
shell that she had encased herself in and that she had used to
cope. She has learned that she is a survivor, and not a victim,
and has made steps towards healthy relationships and safety
for her children.
Power in Numbers
This team has come to a place where I, as a practitioner and
an individual, feel safe to be me. Ultimately, we need to be
the change, and it needs to start with our working relation-
ships. To do this, people need to feel safe, empowered, have a
sense of belonging, and have an opportunity to reach our aspi-
rations—all great lessons we can bring forth to our clients.
Learning Together
This client and I were drawing a picture together and he
reached over to grab my marker without saying please. I cor-
rected him and asked him to try again. Thirty minutes passed
and we were still drawing and—without recognizing it—I
reached over and grabbed his marker and started to use it. He
stopped me and said, “HEY! You didn’t ask OR say please, Ms.
M!” He didn’t forget to say please or thank you after that!
Guiding Change
This client was an extremely angry child. He regularly had
screaming temper tantrums that were heard all over the
building and he was rude and bossy with his mom—
reproducing the attitudes and behaviours he had seen his dad
model. Through twice-weekly sessions, he has been able to
release a lot of anger and has learned other ways of express-
ing his feelings that are not as explosive or out of control. He
has even gotten to the point where he successfully attended a
week-long overnight camp this summer, which would not
have been possible last year.
A Family’s Future
This client is an immigrant woman with four children. While at
Discovery House, staff nominated her for a community bursa-
ry fund, which she received. Through this funding, she was
able to provide her children with gifts that will help with their
educational needs and emotional well-being, including a com-
puter, educational tools for a son with autism, a keyboard and
guitar for music lessons, clothing and Christmas gifts. I have
never seen her so happy as when she received the approved
items for her children. Because of the funding, we are also
able to continue to work with this family for three years—
something that will really benefit this family that faces so
many barriers.
This client was an
extremely angry child.”
He stopped me and said,
“HEY, You didn’t ask OR
say please Ms. M!”
She has learned that she is
a survivor, and not a victim,
and has made steps towards
healthy relationships and
safety for her children.”
15 -
Regain Confidence after Domestic
Violence
When this client dropped her children off at the Children’s
Centre, she trusted me and talked a lot about her life. When
she talked, I noticed that she looked hopeless and lacked con-
fidence. I could tell that she felt it was a great shame to come
to Canada and need government help even though she is ca-
pable. With the help of staff, she finally found a part-time,
professional job. Her face shone and she looked happier than
before. With the help of Discovery House, this client regained
her confidence.
Tools of the Trade
There has been a shift of focus in the program from theoreti-
cal to practical. Two months ago, the program was able to
order a variety of art supplies to use with clients while com-
pleting outreach work, and even more exciting was the ap-
proval to order two portable play therapy kits just last week.
Now, the Child and Youth Support Specialists can do the same
therapeutic work they could do in a playroom setting, but in-
stead bringing it to families in an outreach capacity.
Resiliency Becomes Reality
This client is a single mom who has encountered many barri-
ers in her lifetime, including an abusive partner. After her stay
at an emergency shelter, she found refuge at Discovery House
and spent the next year working on her personal issues and
learning more about domestic violence. She was also referred
to a career counselor and, as a result, decided to pursue a
career in social work. She and her children have now moved
back to their previous city where she is attending a Social
Work program. The change in this client during her stay at
Discovery House was remarkable. The strength of one woman
who endured so much!
Honouring the Courage to Be Real
She said that she wanted to lie to me and pretend that she
has her life together, to pretend that things were different
this time, but they weren’t. She knew she needed to hold her-
self accountable to her behaviours. She needed to be honest
and upfront with her support system in order to get the help
she truly needed. After a lengthy and emotional chat, she
agreed to a more intensive support plan.
She said she wanted to
lie to me and pretend
that she has her life to-
gether…”
With the help of Discovery
House, this client regained her
confidence.”
Sh
ort S
torie
s
- 16
An
aly
sis
Although participants were not asked to consider evaluation outcomes when choosing stories, these outcomes were apparent
throughout the collection. The illustration below depicts the frequency that each of our key outcomes—Housing, Socioeco-
nomic, Health & Wellbeing, Family, and Safety—appeared in the stories, telling us about the types of changes that staff valued
as significant.
HEALTH &
WELLBEING
33%
SAFETY
19%
SOCIO-
ECONOMIC
16%
FAMILY
25%
HOUSING
7%
Note on Analysis
Analysis is central to the MSC technique, and within this report, we focus on two streams of analysis:
Analysis within the MSC process
Participatory, discussion-based analysis within committees
Highlighted in this report in “Selection Talk” text boxes throughout stories/narratives, and in “Talking about
Change” on the following page
Analysis outside of the MSC process
Analysis undertaken by Program Evaluators outside of formal meetings
Includes, for example, content analysis highlighted in “Reading for Outcomes”
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Reading for Outcomes
An
aly
sis
Discussion is essential in the Most Significant Change technique, and we did a lot of discussing. One might say that the Initial
Selection Committee spent an entire workday (close to 8 hours over three meetings) discussing change stories—and without a
lunch break! From those meetings, several predominant themes emerged, which we have called Clients: Power of Self, Build-
ing Blocks for Change, Change Interpretation, and Staff: Role in Contributing to Change (see below). Together, the themes
build on each other, overlap, and are otherwise connected.
Talking about Change
The above themes were displayed during the Final Selection meeting to provide context for discussion and voting. Key discus-
sion points from the Final Selection meeting may be summarized as follows:
Discovery House…
Quality staff that does good social work
A learning organization
Culturally competent and well-positioned
Making a difference
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Change Interpretation
Change as process; more steps forward than back Success might not be easily apparent The “trivial” can be powerful change
What the media might love to hear, staff might not want to put forward
CHANGE
Building Blocks for Change Time Trust
Respect Honouring the complexity of moms’ lives:
The good, the bad, and the ugly Flexibility
Meeting clients where they’re at
Clients: Power of Self Self-confidence and Self-worth
Sense of purpose Pressures to “be a good mom”
Why we focus on client-driven change “Our clients are pretty damn smart and resourceful!”
Staff: Role in Contributing to Change Provide tools
Connect Facilitate Empower
An
aly
sis
The Spheres The sphere of influence is an important concept that underlies all program evaluation at Discovery House. The sphere of influ-
ence is a model that forces us to see client changes/outcomes in terms of those that we can contribute to and those that we
cannot. Ultimately, we want our clients to achieve those long-term changes in condition and well-being that make up our vi-
sion, but recognize that we have very little control over that process.
From a program evaluation perspective, the goal then is to structure evaluation activities such that we monitor clients progress
toward changes that we actively contribute to. As you can see from the diagram below, our standard evaluation procedure
envisions this process as involving three stages from working alliance to achieving a standard set of agency outcomes. The
goal here is to structure outcome measurement such that we capture changes on the threshold of the sphere of influence and
that of the sphere of concern.
Working
Alliance
Our Vision for
the Clients
Sphere of Concern Sphere of Influence
Agency
Outcomes
Readiness for
Change
The challenge for us is that most evaluation activities assume that clients are working toward similar goals and that reaching
these goals has similar value for each client. The danger is that this assumption is somewhat flawed and does not lend itself
well to measuring significant changes that happen on the journey to a particular outcome (e.g., going to a walk-through vs.
permanent housing).
It is within these limitations that the value of MSC becomes most apparent. MSC not only captures these missed client chang-
es, but also layers these changes with the importance/significance to the individual. In this way, we can colour, layer, and add
to our standard evaluation activities so that we can give a better description of the changes that we are contributing to as an
agency.
It is not a surprise then that so many of the stories that were submitted described changes below the outcome threshold. The
stories were about the building blocks that lead to changes in our standard agency outcomes. In closing, this analysis leads to
three important questions:
1. Our standard agency outcomes were often absent or implied in the stories. What does this say about evaluation at the
agency? Should we explore the focus of our work?
2. Does the “theory of change” and associated values articulated in the stories match our official agency truth?
3. What changes would clients have written about? What is significant for them?
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An
aly
sis
The task to evaluate change is not an easy one. Change, after
all, is subjective. One change may be considered significant in
one situation or by one person, and not in another situation or
by another person. Thus, questions of context and value are
central in evaluating change, as it is in MSC. In the case of our
MSC 2012-2013 project, analysis of the narratives gives us
meaningful insight into how staff members view clients,
change, and their roles as related to client change.
First, the analysis of narratives indicated a consistent view of
our clients as occupying complex social locations where gen-
der, culture, class, and country of origin (for example) interact
in specific ways to form complex challenges in systems that
are not always friendly or helpful. Perhaps most notably, we
see that many of our stories about immigrant women touch
on the challenges in navigating an unfamiliar system, some-
times with limited language ability and with limited financial
resources, while simultaneously facing family or cultural pres-
sures to return to an abuser. Similarly, stories about Aboriginal
families touch on the possible implications of choosing to
leave or return to a reserve, speaking to questions of culture
shock, trust, and social support systems. Thus, throughout
stories, it is evident that clients are not simply leaving domes-
tic violence—they are doing so in context, while navigating the
complexity of their lives and of the systems that they partici-
pate in. Moreover, it is evident that staff members appreciate
and adapt to client context, no matter how complex.
Perhaps it is no surprise, then, that much of the value taken
from the stories is not directly tied to outcomes (such as hous-
ing and safety), but to change process. Consider, for example,
the ability and confidence to make a phone call. Out of con-
text, this change might not appear to be meaningfully related
to our mission; yet, not only was this change considered sig-
nificant by the storyteller, it was also considered significant by
the committee members who voted the story forward for final
selection. We value this change because it represents a mean-
ingful step in this client’s process to live safely in the commu-
nity. This message repeats itself throughout the collection
(from portable play therapy kits and art supplies to the repeat-
ed focus on flexibility and readiness for change): We under-
stand change as individual, non-linear, and non-formulaic; we
value change as a journey.
Lastly, this project tells us about how we view our role in this
journey. There is no story in which a staff member claims to
be the sole source of client change. Instead, we see a con-
sistent emphasis on working alliance, talking again and again
about relationship-building and trust (from the skill to know
when to call a meeting short to the client who experienced
trust with a system for the first time). We also see a consistent
emphasis on conveying knowledge and connecting clients with
resources (from the client who wanted to learn more about
domestic violence and its effects to the client who has con-
nected her family with more resources than most of us could
name). What all of this tells us is that we view our role in cli-
ent change as one of contribution, not attribution, where we
facilitate, rather than effect, change.
This first iteration of MSC at Discovery House has been a valu-
able tool to examine agency values around change. Overall,
what we have learned is that when it comes to change, we
address the whole picture of domestic violence by engaging
context, valuing change as journey, and contributing to
change as facilitators. As one storyteller expresses, “It isn’t
about solving the problems our clients face, but walking along-
side them” in their journeys of change.
Change as Journey
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Reflection
s
21 -
The Last Word As in much qualitative research, reflection is a powerful tool in the MSC technique. Throughout this pilot project, we have tried
to provide spaces for reflection to participants and to engage in active reflection ourselves. Here, we share some of these re-
flections with you.
First Selection Meeting
First, I was surprised by the rawness of some of the discussion.
To me, rawness reflects sincerity, and I think that this is an
excellent way to begin an evaluation process that is so de-
pendent on sincere discussion. I am thankful that group mem-
bers were willing to share this.
Second, upon reflection, I am more keenly aware of how or-
ganic this technique can be. There is no single formula to de-
termine which significant changes are most significant for Dis-
covery House. Rather, this is a unique opportunity to listen to
the diverse voices at the table, behind the stories, and within
our programs. Learning from this process could prove as valu-
able as the ‘final product.’
Second Selection Meeting
Creating spaces for discussion is not easy. Participants need to
be open, interested, and committed. (And, I’m thankful for the
group we have!) Beyond that, scheduling, structure, and “the
right organizational moment” are important. I do think this is
that moment, and even as we work out the details, I have al-
ready heard how valuable this process has been to some.
As for content, what stands out most to me is that moms’ and
children’s struggles are highlighted without using words of
judgment; instead, clients are written and talked about as deci-
sion makers.
Third Selection Meeting
As I receive informal feedback from participants, the MSC pro-
cess is validated as meaningful and useful. At the same time, I
have heard that we need to be careful of “MSC burnout”—
something that resonates with me. Reflective processes need
to be balanced, happening often enough to be connected, and
not so often as to be repetitive. Looking forward, this will be
an important design consideration if we want to maintain the
same level of engagement.
Final Selection Meeting
[MSC Burned Out]
Facilitator Flashbacks
Eliana Clay
Program Evaluator
We’ve spoken with almost everyone that participated in our
pilot cycle. Your feedback is in, and it’s a little bit ambivalent.
Do you think that we should prescribe domains of change
(themes)? Yes and No. Do you think that we should switch to
clients as storytellers? Yes and No. Do you think that we should
find a way to share the stories externally? Yes and No.
So, what do you agree on? Almost without exception, you agree
that this has been a valuable process, that you have appreciat-
ed the opportunity to share with and/or learn from your col-
leagues, that meetings were too long, that committees should
be more balanced, and that you want to see the results and
what we do with them.
Until now, you have probably only seen or experienced MSC in
the pieces you were directly involved in. We hope that this
report begins to address the question of results, providing you
with a more complete MSC picture. And, as always, know that
this is a work in progress.
Participant Feedback
Refle
ctio
ns
Best Laid Plans
Edwin Rogers Senior Program Evaluator
I would like to start with a thank you. This project would not have been possible without the efforts of all the project
participants and I wanted to extend my gratitude to all of you. I would also like to personally thank Eliana Clay for her
work on this project. It may have started with my vision but Eliana was gracious enough to take on the challenge and to
make the project her own. This report is a culmination of her passion and hard work and we would never have reached
this point without her. So, Eliana, thank you!
As I reflect on this project, I keep coming back to one word – Unexpected. I had a vision for how MSC would unfold and I
have to admit that much of what transpired did not meet that vision. This was true right from the beginning when we
first posted the part-time contract program evaluator position that would make this project possible. The quality of the
applicants far exceeded those of what I thought we would attract and the knowledge and experience of the successful
candidate changed the entire approach that I wanted to take. I had envisioned leading the process myself but instead
found someone who could champion the project for me.
From that point on, I was often pleasantly surprised at the unexpected events that transpired as we moved through the
process. I had not expected to include funders in the process, but they became an interesting and important part of the
selection committees. I had expected client stories, but instead found that we had case manager stories about cli-
ents. This was an important learning for me and completely changed how I felt about the project. I had expected narra-
tives about singular moments of change, but instead received much more sweeping large scale narratives about the suc-
cesses of our clients. I had expected people to be interested in the process, but was not ready for the intensity and pas-
sion of those writing and selecting the stories. I had expected the meetings to be smooth and comfortable for partici-
pants, but instead found them quite intense. We certainly had bitten a lot off with this project. I had assumed that the
stories would illuminate and highlight our work, but I did not expect how sweeping and powerful that process could
be. Many people left the table with a very different feeling about us and our work (the funders especially). Finally, the
story that was selected as most significant was not what I expected it to be.
For me, all the unexpected events speak to the success of this project. MSC is a participatory approach that’s value lies in
the shared exploration and learning of all those who participate. That this project took on a life of its own and was
shaped so clearly by all those who participated is the greatest compliment I could ever give it.
So, thank you, I am so glad that nothing turned out as I expected!
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T H A N K S .