User Guide - Homeless Link
Contents
1. Then you start believing that you can make a difference yourself in your life At 5 you look ahead to how you want to be living You can see that change won t happen unless you help to make it happen and you become engaged rather than just going along with other people s plans At 6 you start to take the initiative and try out new ways of doing things Sometimes it works sometimes it doesn t This stage is a tough place to be and it can help to have plenty of support Learning 7 8 By 7 you have a sense of what works for you in moving towards your goal You are becoming more confident in yourself and in your ability to achieve your goals and more consistent in doing things that get you closer to where you want to be You still need support to keep things going and setbacks can knock you off course By 8 you have achieved your goals and mostly got to where you need to be but it is hard at times so you still need regular support Self reliance 9 10 As you learn you gradually become more self reliant Your new ways of doing things start to feel natural or automatic Most of the time you can maintain the changes on your own without support but at times of crisis you might slip back At 9 it may be helpful to have some support to help you recognise any danger signs and take action if necessary At 10 you are at the point where you can manage without outside help The Journey of Change is summarised on the next page as a ladder I2. am not offending with occasional support to maintain this e As for 10 but you need occasional help to avoid offending anti social or nuisance behaviour Self reliance 8 I am staying within the law with support e You are not offending but you need ongoing support to keep this up e You are actively dealing with ongoing consequences of any past offending e You have strategies for avoiding high risk situations and mostly use them Your lifestyle supports you in not offending 7 understand how and why get in trouble and how to stop for good e You are becoming aware of how and why you get into trouble and how to avoid high risk situations or people You are learning to deal with triggers and manage your behaviour for instance through anger management skills e You may occasionally commit minor offences but you learn from this Learning 6 I am taking steps to stop offending and or deal with the consequences of offending e You are reducing or stopping offending e You are taking the initiative to comply with the terms of any legal orders 5 want to stop offending e You are facing up to your offending and actively considering changes to the way you live and avoiding certain people to help you stop any criminal activity e You can see the consequences of involvement with the police or legal system e gt Ae T w 41am going along with help to sort out issues with the law e You mostly comply with the courts or any legal o
3. feel physically healthy well but are mostly doing what you can to be as healthy as possible and manage any i oe H H o maintain health issues without support neal y habits and taking care of my Where are you on your journey physical health mostly look after my health but need support to maintain this am doing some things to look after my physical health need to take some responsibility for looking after my health I am learning to look after my health will go along with treatment provided My physical My health health is bad but is bad but don t want to nothing will talk about it help want help for pain or illness Page 16 Outcomes Star Triangle Consulting Social Enterprise Ltd www outcomesstar org uk HES 6 Physical health detail This scale is not about how good your physical health is but about how well you look after your health and manage any health conditions you have This includes going to the doctor and dentist as needed and following treatment advice It is also about looking after your health by eating healthy food taking exercise and trying to sleep well 10 I look after my physical health and my lifestyle is reasonably healthy e You mostly eat enough healthy food take exercise and minimise unhealthy habits e You are managing any conditions as well as possible to maximise health 9 I am learning to maintain healthy habits and
4. my home e You have reasonable skills for basic cooking and myself and cleaning by 6 if not before well without outside help e By 8 you have the skills to live independently but need support to keep it going can look after my home and myself Where are you on your journey well with occasional help can look after myself and my home well enough but need support to keep it want to lam doing ca be able to some things I m building do more for to look after my living skills myself my home for myself If others can help me look after myself better l Il go along with it don t keep don t myself warm look after clean and fed myself well but don t want Occasionally don t want to live like this any more to talk about it worry about that need help Page 8 Outcomes Star Triangle Consulting Social Enterprise Ltd www outcomesstar org uk HES 2 Self care and living skills detail This ladder is about how well you are able to look after yourself and your home It is about basic living skills and self care such as keeping yourself and your home clean keeping safe at home shopping for the things you need and cooking healthy meals AEE Learning e gt 1 T a Accepting help Outcomes ar 10 I can look after my home and myself well without outside help e You have all the necessary living skills to keep yourself war
5. to go elsewhere e You know what you don t like but you don t really know what you do want to do 3 don t want to spend my days doing nothing or in chaos anymore e You are doing little or nothing with your time but are fed up with living like this e You want to change but don t have a sense of what else is possible e You agree to do things but easily lose motivation and don t follow through Accepting help 2 Occasionally wish was doing something meaningful but there s no way could e You are occasionally fed up with doing nothing and may talk about this but not for long and you don t accept any offers of help with how to use your time 11 am doing nothing with my time or it revolves around drugs alcohol or criminal activity e You are not in paid or voluntary work training education or other meaningful activity and don t want to talk about how you use your day e Your life is too chaotic to have a routine and may revolve around drugs or alcohol Outcomes ar Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Page 21 9 Managing tenancy and accommodation Where you live complying with terms taking steps to live independently live independently and manage my own tenancy without support Key points e By 4 you consistently keep within the main rules of your accommodation e By 6 you are taking steps to live Ili independently
6. with any support you need 9 I use my time well but occasionally need support with it Ea e As for 10 but you need help occasionally for instance if circumstances change or a course comes to an end and you need to make new arrangements 8 I am using my time well but need support to maintain that e You are engaged in regular activities that work for you e You may encounter difficulties but with support you can learn from these 7 I am learning what works for me and getting closer to where I want to be e You are discovering what works for you and may be excited at new achievements e You may be addressing things that hold you back for instance literacy e You run into problems at times and you need help to get through Learning 6 I am getting clear about what to do and taking steps towards that e You are trying new things and can set and meet short term goals with support e You find you can sustain interest and activities though you need support 5 I know I need to take the initiative to change things e You are actively considering the future and the options available to you e You have some sense of the direction you want to go in but it s hard to put that into practice so you need support to talk about your options D gt S T va 41am going along with actions that others suggest e You follow through on actions agreed in keywork with lots of encouragement e You may take part in activities where you live but are unlikely
7. Star Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Page 27 Outcomes A tried and tested tool for supporting and measuring change Star www outcomesstar org uk motivation amp taking responsibility self care amp offending living skills managing tenancy managing amp accommodation money meaningful use social networks of time amp relationships emotional amp drug amp mental health alcohol misuse physical J Triangle LHF London Housing Foundation homeless link This version of the Outcomes Star is one of a family of tools developed by Triangle for supporting and measuring change when working with people Training IT solutions and other support Support in using the Outcomes Star is available from Contact Triangle R www outcomesstar org uk both Triangle and Homeless Link Triangle supports email info tiaingleconsulting org uk all versions of the Star in the UK and internationally tel 020 272 8765 Homeless Link supports this version in the UK and Cantacctionelecaiate can offer some free or reduced cost support for www homeless org uk F email info homelesslink org uk voluntary sector homelessness services tel 020 7840 4430
8. T User Guide Outcomes Star The Star for people with housing and other needs motivation amp taking responsibility self care amp living skills managing money Developed by Sara Burns Kate Graham and Joy MacKeith of Triangle Consulting Social Enterprise J Triangle homeless link Published by Authors Triangle Consulting Social Enterprise Ltd Sara Burns Kate Graham and Joy MacKeith The Dock Triangle Consulting Social Enterprise Ltd Wilbury Villas www outcomesstar org uk Hove BN3 6AH Supported and promoted by Homeless Link Copyright 2013 Triangle Consulting Social Enterprise and London Housing Foundation Designed and edited by Jellymould Creative www jellymouldcreative com All rights reserved Third edition published November 2013 This work is licensed under a Creative Commons Attribution NonCommercial NoDerivs 2 0 UK England amp Wales Licence The Outcomes Star is the intellectual property of Triangle Consulting Social Enterprise Ltd In order to promote the use of the Star and facilitate effective keywork and outcome measurement the copyright holders give you permission to copy distribute and display this publication under the following conditions and any use that does not comply with these conditions shall be considered a breach of our rights e You copy distribute and display the publication in its entirety e You do not alter the design or text or create IT software based on or in any way incorpor
9. a independently with occasional e By 8 you are able to manage support accommodation for yourself well enough but need support to maintain that e By 10 you do not need a specialist service to maintain your accommodation can live independently with ongoing Where are you on your journey support I am taking steps to be want to make the am learning changes need able to live how to so can live independently manage my independently and find a tenancy and home be self reliant lam going along with things to keep my accommo dation I am not able am not com Page 22 or not willing to comply with rules and regulations plying with the rules and occasionally worry about being evicted don t want to lose my accom modation Outcomes Star Triangle Consulting Social Enterprise Ltd www outcomesstar org uk HES 9 Managing tenancy and accommodation detail This scale is about where you are living now and how well you comply with the terms of your accommodation for instance paying rent and bills getting on with your neighbours and taking responsibility for visitors It is also about the steps you are taking to live independently 10 live independently and manage my own tenancy without support e You are living in your own flat and maintaining your tenancy without support from a service You pay your rent and other bills and there is no r
10. age my money well enough with occasional support e By 7 any debts are not getting worse Where are you on your journey manage my money OK but sometimes need help need to sort am sorting out my money out my money have no debts and and trying to major issues benefits and manage with with money have plans in what I ve got and am place It s difficult learning to manage with support will go along with help if workers can sort out my money for me My money is in My money is crisis but am a mess but ignoring the nothing can be situation done about it don t want these money problems Page 10 Outcomes Star Triangle Consulting Social Enterprise Ltd www outcomesstar org uk HES 3 Managing money and personal administration detail This scale covers issues in relation to you and money It can include debt not paying bills or maintenance and the effect of any money issues on you and your life If you have no issues with money simply mark yourself at 10 and move on to the next area 10 can manage my money well enough and don t need support with it e You understand what benefits you can get and how to maintain a claim or you are in work and managing your wages well If you have debts you are repaying them e You can forward plan deal with crises and manage your money without support 9 manage my money well enough with occasional suppor
11. ating the tool e You do not use this work for commercial purposes including offering training whether paid or not This is a Creative Commons Attribution Non Commercial No Derivatives licence For more information about Creative Commons and to see the full licence visit www creativecommons org licences Other licences are available for those wishing to translate the document into other languages or to include aspects of the Star in their software applications paperwork or publications Please contact info triangleconsulting co uk for more details The Outcomes Star This version of the Outcomes Star is part of a family of Outcomes Star tools Each tool includes a Star Chart scales and guidance on implementation and some have visual and other resources For other versions of the Outcomes Star good practice and further information see www outcomesstar org uk Homeless Link lead on dissemination of the Outcomes Star for people with housing and other needs among voluntary sector homeless services in the United Kingdom For more information see www homeless org uk Triangle and Homeless Link both offer training IT solutions and other support in using the Outcomes Star For more information see the Resources section of the Organisation Guide Acknowledgements The Outcomes Star has a long history of development and we would like to thank all the managers workers and clients who have contributed their feedback and made it possible for Triangle
12. ccept help with self care e When you have support your self care standards improve for example you may clean your room or eat more regular meals but you don t keep it up on your own 3 don t want to live like this any more need help e You sometimes agree to let a worker help you address issues such as fitting a lock on a door if you re in a flat or having a shower and putting on fresh clothes e You go along with some keyworker suggestions but this is patchy 2 I don t look after myself well Occasionally worry about that e As for 1 except you occasionally discuss problems with some aspects of self care but if help is offered you do not accept it 11 don t keep myself warm clean and fed but don t want to talk about it e You are not able to keep yourself warm fed safe or clean and you may neglect yourself to the point where other people keep away from you or you harm yourself e You do not engage in discussion with workers about self care Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Page 9 3 Managing money and personal administration Benefits budgeting sorting out debts savings Key points can manage my money well enough and don t need support with it e By 4 you are receiving the correct benefits if not before e By 6 you are taking action to sort out benefits debts or other money issues man
13. d but occasionally need support have positive contact with people but need help to maintain this Where are you on your journey I am doing things to build a positive social network know need to find positive relationships but it feels hard am learning what works for me with social networks friends and family am talking to one or more people can trust am occasion ally fed up am always alone or with am isolated Page 12 people who are a negative influ ence and will not discuss this with being alone or with people who don t help me or the people around me aren t good for me and want some help Outcomes Star Triangle Consulting Social Enterprise Ltd www outcomesstar org uk HES 4 Social networks and relationships detail This scale is about feeling connected and having people in your life friends or family work colleagues or people with whom you share interests community or culture It includes how you cope in social situations and finding out who you can trust Whether you start your journey mostly on your own or with people who hold you back you end it with people who support you positively 10 feel connected and supported and don t need help in this area e You have the level of contact you need and want with friends family and others e If you are in contact with family your relationship is h
14. e You are making some changes to reduce the risk of harm from alcohol or drugs e You consistently go along with suggestions but don t yet take the initiative e Or you don t accept help but don t drink or use drugs heavily enough to risk severe harm 3 I need some help with my drug use or my drinking e You are fed up with the negative consequences of drugs or alcohol and want to change but do not believe it is possible or do not think you are responsible e You accept help but often miss appointments Accepting help 2 Maybe my drug use or drinking is a problem but that s just the way it is e As for 1 but every now and then you acknowledge that you are worried about drugs or alcohol e You are not ready to make changes and don t engage with support 1 I don t have a problem with drugs or alcohol although others think I do e Your drug use or drinking is stopping you making progress and may be seriously damaging your health but you won t engage in discussion about it e Your life may be orientated around drugs or alcohol Outcomes ar Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Page 15 6 Physical health Doctors treatment healthy lifestyle Key points e By 3 A getting treatment for any ibak after major health issues my physical e At 6 you start to take some initiative with h health issues or healthy lifestyle k an ae ly e At 10 you may or may not
15. ealthy enough and you meet any responsibilities towards dependents 9 mostly feel connected and supported but occasionally need support Self reliance e As for 10 but you still need support from the service when difficulties arise 8 I have positive contact with people but need help to maintain this e You mostly have enough positive contact with people but there are still problems and you need support to maintain and build positive contacts 7 am learning what works for me with social networks friends and family e You have positive contact with people other than workers but need help to learn who you can trust You may recognise that some past contacts were unhelpful e You may be taking steps to re establish contact with family if appropriate Learning 6 I am doing things to build a positive social network e If your friendships revolved around alcohol drugs or other unhelpful behaviour you are taking steps to move on from them and meet new people but it s hard e You may feel isolated or rely on workers you trust in the service 5 know I need to find positive relationships but it feels hard D gt S T a e You want to be around people who support positive choices e You don t yet know how to go about this and or need support in recognising unhelpful relationships 41am talking to one or more people I can trust e You are mostly on your own or with people who do not help you to make progress e You consistently g
16. epting help which means change is becoming possible e By 6 you are taking the initiative and doing things to help yourself at least sometimes e From 7 you are relying less on other people to motivate and support you Where are you on your journey see that need to do things myself to get to where want to be will go along with help if other people can stop my life being like this lam not am fed up interested with how my in talking to life is but workers or nothing can be have had enough of living like this and want things to change making done about it changes Page 6 Outcomes Star Triangle Consulting Social Enterprise Ltd www outcomesstar org uk I am motivated f 0 and take responsibility for myself independent of the service Mostly feel confident in my choices just need a bit of help now and then am getting there and know it is down to me but want support to keep it up am seeing some benefits from the positive choices am making HES 1 Motivation and taking responsibility detail This ladder is about your feelings about change whether you are ready to make changes going along with help or actively creating change yourself Think about where you are on this ladder at the moment If things change a lot from day to day or hour to hour then where are you right now 10 am motivated and take responsib
17. go e Although you are getting help with major problems you ignore less severe ones Accepting help 2 My health is bad but nothing will help e As for 1 but you occasionally discuss health briefly or ask for help but may then refuse treatment if offered Perhaps you don t believe it is possible to feel better 1 My physical health is bad but I don t want to talk about it e You don t go to the doctor even for pressing health problems e You may be behaving in ways that risk your health including sexual risk taking e You don t want to discuss health issues or it feels too hard to even think about Outcomes ar Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Page 17 7 Emotional and mental health How you feel dealing with anxiety stress depression trauma or strong emotions feel fine Eey ports a e From 5 you are increasingly managing e a your emotional and or mental health me for yourself e By 8 you are mostly feeling stable and OK mostly feel and have access to any treatment you need iis gi a with support now and then e At 10 you can maintain this without the support of a specialist service If you have a mental health condition this may still be the case but you are managing it well lam getting on with my life with Where are you on your journey support believe that am trying there are ways to am mo
18. hange your situation by behaving differently 41 will go along with help if other people can stop my life being like this e You mostly accept help go along with suggestions and attend appointments e You may have a sense of what you don t want but not what you do want 3 have had enough of living like this and want things to change e You are not happy with how things are and want something to be done about it but don t follow through You may agree to appointments but mostly miss them e Maybe you don t believe things can change so you don t make the effort to try Accepting help 2 am fed up with how my life is but nothing can be done about it e You acknowledge moments of dissatisfaction with how you are living but if help is offered you do not accept it engage meaningfully or address the possibility of change 1l am not interested in talking to workers or making changes e You will not talk to workers about your situation or make any changes e You may be frightened of change or may not believe it is possible or a mental health issue or drug or alcohol misuse is affecting your ability to see things clearly Outcomes ar Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Page 7 2 Self care and living skills Shopping cooking keeping yourself and your accommodation clean and safe Key points e At 3 things are improving can look after
19. help The Star looks at ten areas of your life 1 Motivation and taking responsibility 2 Self care and living skills 3 Managing money and personal administration 4 Social networks and relationships 5 Drug and alcohol misuse 6 Physical health 7 Emotional and mental health 8 Meaningful use of time 9 Managing tenancy and accommodation 10 Offending How does it work For each of these ten areas there is a scale Each scale follows the same pattern the Journey of Change with five stages To complete the Star look at each of the ten scales one by one and talk it over with your keyworker Together you can agree where you are in each area mark the number on the Star Chart and connect the points to create a picture of the areas of your life that are working well and the areas that are causing difficulties This picture will help you and your keyworker agree what areas to work on together From there you can start thinking about the actions you want to take and the support that would help you to take them Your own personal journey You and your keyworker will come back to the Star at regular intervals You can look at the scales again agree where you are and plot a new shape on the Star Chart Over time this will help you to build a picture of your own personal journey You will see where you have come from and how things have changed for you This can help you to see things in a new way and put the ups and downs
20. ility for myself independent of the service e You are confident and motivated about maintaining a positive way of life e You have a support network of family and or friends who provide help if needed 9 Mostly feel confident in my choices just need a bit of help now and then e You mostly feel confident and in control of your life even with setbacks e You can judge when you need support but letting go may feel frightening Self reliance 8 I am getting there and I know it is down to me but I want support to keep it up e Your choices and behaviour mostly help you towards what you want in life e Life may not feel easy and you experience setbacks and need support 7 I am seeing some benefits from the positive choices am making Learning e You can see that when you make positive choices for instance speaking to people politely and openly it mostly has a good effect e You may feel some control over your life and be excited about new possibilities 6 am doing things to help me get to where I want to be with help e You are trying out new things or addressing issues but it s hard e You have some sense of how you want your life to be e It can be tempting to go back to familiar ways so it helps to have support 5 I see that I need to do things myself to get to where want to be D gt T a e You are starting to take the initiative rather than relying on workers suggestions e You see that you may be able to c
21. isk of eviction e You can forward plan and mostly deal with crises drawing on your own support networks as needed 9 I live independently with occasional support Self reliance e As for 10 but you need occasional support in case of crisis 8 I can live independently with ongoing support e You are able to live in your own place and maintain a tenancy with support though you may either be in your own flat or waiting for a flat at this point e You can manage rent and other bills forward plan and mostly deal with crises 7 am learning how to manage my tenancy and be self reliant Learning e You are learning how to maintain a tenancy pay rent and other bills forward plan and deal with unexpected events but there are a few areas of difficulty e You may have recently got your own flat or be waiting for one 6 I am taking steps to be able to live independently and find a home e You are living in supported or temporary accommodation and are actively taking steps to be ready to manage a home of your own including learning about managing a tenancy or addressing other areas that have held you back D gt g 5 I want to make the changes I need so I can live independently Bel e You want a place of your own and realise it is up to you to make changes You feel motivated to do this and open to exploring issues that have held you back 41am going along with things to keep my accommodation e You are living in supported or tempo
22. ive 3 want to get out of this hole and feel better e You experience high anxiety stress depression or psychosis and want help e You may make appointments but often do not attend and if you are on medication for a mental health issue someone else has to make sure you take it Accepting help 2 I don t like feeling like this but there is nothing anyone can do about it e As for 1 you often feel pretty bad You sometimes discuss symptoms but do not engage effectively with any help 1 often feel pretty bad but I don t want to talk about it e Symptoms such as anxiety depression psychosis panic attacks low self worth or suicidal thoughts have a severe effect on your life but you don t want to discuss it Outcomes ar Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Page 19 8 Meaningful use of time Structured daily activities interests learning work or volunteering Key points e At 1 4 you have no responsibilities or structured daily activities or are neglecting them By 3 you are accepting help to address this e By 8 you regularly do something meaningful with your time which probably includes structured weekday activities e A 10 will look different for different people depending on responsibilities age and health Where are you on your journey know need am getting to take the clear about initiative to what t
23. m and fed and where you live clean and tidy enough without support you notice if you let things go e You may not need to use all these skills just now but you know you have them 9 I can look after my home and myself well with occasional help e You take care of yourself well but you may let things go when life is difficult and need help to get back on track 8 I can look after myself and my home well enough but need support to keep it going e You have all the necessary living skills to keep yourself warm and fed and where you live clean and tidy enough but you need support so that you don t slip back e Maybe you are fine with most of these skills but need help with one or two 7 I m building my living skills e You do your laundry and some cleaning or cooking without prompting e You feel better and your motivation is increasing as a result of positive choices 6 am doing some things to look after my home for myself e You are doing more for yourself without prompting such as laundry cleaning or cooking and there are no concerns about your personal self care e There are still problem areas perhaps because you lack skills or motivation 5 want to be able to do more for myself e You know that cleanliness diet and other aspects of self care are important e You want to do more for yourself though you may be unsure how to go about this 4 If others can help me look after myself better l Il go along with it e You consistently a
24. means you are not A ele drinking problematically and are no with occasional longer using illegal drugs or misusing support legal or prescribed drugs By 10 you do not need support lam not using drugs H or drinking Where are you on your journey sfisbleratically but need support to see that am doing maintain this need to make some things am learning changes myself myself to to manage my to tackle my address my alcohol and or drug use OF drug use Or drug use but drinking drinking there are a few issues go along with some things to reduce the risks or harm from alcohol or drugs don t have a Maybe my problem with drug use or drugs or alcohol drinking is a although problem but need some help with my drug use or my others think do that s just the Way it is drinking Page 14 Outcomes Star Triangle Consulting Social Enterprise Ltd www outcomesstar org uk HES 5 Drug and alcohol misuse detail This scale is about whether you use drugs whether your drinking has a bad effect on your life and how you are dealing with any drug or alcohol issues It is about how aware you are of any problems you have with drugs or alcohol and whether you are working to reduce the harm they may cause you If you do not use drugs or drink much alcohol place yourself at 10 10 I don t have a problem with drugs or alcohol or manage without support fr
25. nd choose to do so You no longer with occasional need support to maintain that support to maintain this e If you have never offended you are at 10 Where are you on your journey am staying within the law with support want to stop lam taking offending steps to stop understand offending and how and why or deal with the get in trouble consequences and how to of offending stop for good lam going along with help to sort out issues with the law l am not able or The courts not willing to or police are discuss offending causing me problems wish didn t have these problems Page 24 Outcomes Star Triangle Consulting Social Enterprise Ltd www outcomesstar org uk X 10 Offending detail This scale is about changing the way you live if necessary to stop any offending or anti social behaviour and to relate to people in ways that avoid conflict This includes not getting involved in theft fights domestic violence drug dealing drink driving and other behaviour that is against the law It covers both current offending and how you deal with any consequences of past offending and orders of the court 10 I am not offending and don t need support in this area e You are not at risk of offending and workers acknowledge this e You have no outstanding issues with the police or courts or you are complying with these effectively without support from the service 9 I
26. o along with support but do not take the initiative 3 am isolated or the people around me aren t good for me and want some help e You don t want to be so isolated or you realise the people you spend time with are an unhelpful influence or exploitative e You sometimes accept help but give up easily Accepting help 2 I am occasionally fed up with being alone or with people who don t help me e As for 1 except that you occasionally acknowledge that your relationships are not as you would like them to be but you will not accept help 1 am always alone or with people who are a negative influence and I will not discuss this e You are isolated or only spending time with people who are not a helpful influence perhaps within a street using and or offending community e Your relationships may be exploitative or lacking in trust or regard e You don t see this as a problem or won t discuss it with workers Outcomes ar Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Page 13 5 Drug and alcohol misuse Illegal drugs drinking problematically misuse of prescribed drugs f don t have a Key points problem with drugs or alco e By 4you consistently take steps to stay hol or man safe age without support from e At 5 the main shift is taking responsibility a service and by 7 you have significantly reduced lan not your use using drugs Being at 8 or above
27. o do change things and taking steps towards that lam going along with actions that others suggest lam doing Occasionally Page 20 nothing with my time or it revolves around drugs alcohol or criminal activity wish was do ing something meaningful but there s no way could don t want to spend my days doing nothing or in chaos anymore Outcomes Star Triangle Consulting Social Enterprise Ltd www outcomesstar org uk use my time well and don t need any extra help use my time well but occasionally need support with it am using my time well but need support to maintain that am learning what works for me and getting closer to where want to be HES 8 Meaningful use of time detail This scale is about how you spend your time whether you are regularly involved in activities that are interesting and satisfying and if not how clear you are about what you would like to do It s also about building the skills and confidence you need to do these things For some people this will mean taking steps towards education training volunteering or employment 10 use my time well and don t need any extra help e You are engaged in regular activities that work for you for instance paid or voluntary work or training e You can move between jobs or choose and organise new activities without the service friends family and colleagues provide you
28. of a single week into a bigger picture It also helps us to get an idea of whether the service is giving you the right support where our service users are making the most changes and where we may need to provide more help or do things differently Outcomes x Star Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Page 3 The Journey of Change Everyone makes changes in their own way but the pattern is often similar It is a process and it can be difficult but learning how change works can help Stuck 1 2 At the beginning of the journey you may feel stuck Although you are far from achieving your full potential and may be causing harm to yourself or others you don t feel able to discuss the problem or accept help You take a step forward to 2 when you start to feel fed up with how things are This is the first sign that change is possible These moments may be fleeting and are not yet consistent enough for you to accept support Accepting help 3 4 You step forward to 3 when you realise you want things to be different Change may seem impossible or frightening but you know you don t want to carry on as you have been doing At this point you will accept help with pressing problems some of the time By 4 you are engaging with the support more consistently but you do not yet take the initiative and rely on workers to drive the process of change Believing 5 6
29. om a service e Alcohol and drugs do not get in the way at all and if you had problems in the past family friends your GP or self help groups provide any ongoing support you need 9 I am not using drugs or drinking problematically with occasional support e You have your own strategies and mostly do not need support from a service TEE 8 am not using drugs or drinking problematically but need support to maintain this e You are finding new ways of coping with what led to heavy drinking or drug misuse e You feel more confident but it isn t easy so you need support to maintain this 7 am learning to manage my alcohol and or drug use but there are a few issues e You have reduced any problematic drinking or drug use substantially e You are exploring triggers for excess drinking or drugs reflecting on causes and finding strategies to help You are able to learn from lapses with support Learning 6 I am doing some things myself to address my drug use or drinking e You are reducing your use of drugs or alcohol or stopping completely for periods e You may attend appointments set goals and access extra support to get clean 5 see that I need to make changes myself to tackle my drug use or drinking D gt T ao e You recognise you have to change to control or stop misusing drugs or alcohol e You are actively exploring options to help yourself 41 go along with some things to reduce the risks or harm from alcohol or drugs
30. problems e You accept help for example with debt or benefits but often miss appointments e You don t want money problems but you may blame others rather than yourself Accepting help 2 My money is a mess but nothing can be done about it e As for 1 except that you sometimes acknowledge there are issues but are unable or unwilling to prioritise or understand what you need to do 1 My money is in crisis but I am ignoring the situation e You may be entitled to benefits but not claiming and or your rent is not paid e You may have extensive debt or problems with the courts or loan sharks e Maybe you spend any money you get in one area for example drugs e You may feel helpless or exploited but you are not willing to talk about it Outcomes ar Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Page 11 4 Social networks and relationships Friends family community people who support you Key points feel yP connected and supported and don t need help in this area e By 4 at least one person supports your positive life choices e If you have had a negative peer group you are moving away from them by 6 mostly feel e By 8 you have a positive social network connected and but need help to maintain it 10 will look different for different people but includes having positive contact with friends family colleagues or others in a community supporte
31. rary accommodation and mostly comply with the rules and regulations but are not working towards independent living 3 don t want to lose my accommodation e You are at risk of eviction but go along with the rules to avoid this e This may include co operating with getting a claim running or agreeing to keywork but you find it hard to follow through with what you need to do Accepting help 2 I am not complying with the rules and occasionally worry about being evicted e As for 1 except you will occasionally discuss issues but if help is offered you do not accept it and nothing is changing 11am not able or not willing to comply with rules and regulations e You may be living on the street sleeping rough or staying in overnight shelters e You are at high risk of eviction because of not paying rent or anti social behaviour You don t see this as a problem or are not willing to discuss it Outcomes ar Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Page 23 10 Offending Not breaking the law including avoiding violent conflict drug dealing and domestic abuse dealing with legal issues Key points lam not offending and e By 6 your offending is reducing don t need support in this e By 8 you have stopped offending but need area support to maintain that e If you have a history of offending 10 means you are able to avoid offending and offending conflict a
32. rders where you need to e You mostly go along with help to reduce your offending but do not take the initiative 3 I wish I didn t have these problems e You are unhappy with the negative consequences of your offending or anti social behaviour and sometimes accept help with these e You do not accept responsibility or address the causes of the offences and may blame others or circumstances Accepting help 2 The courts or police are causing me problems e As for 1 but you occasionally acknowledge offending and related problems but do not accept or engage with help that is offered 1 l am not able or not willing to discuss offending e Workers know or suspect you are offending but you will not talk about this e You may not acknowledge there is a problem or may deny responsibility e You may have outstanding court appearances or be subject to other orders but you are not dealing with any outstanding consequences of your offending Outcomes Star Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Page 25 Additional resources for using the Outcomes Star In addition to this User Guide there is a range of resources available to help organisations use the Outcomes Star effectively The Star Chart and Action Plan The Star Chart and Action Plan is a four page document that includes the Star Chart on which scores are marked a summary of the Journey of Change for quick
33. reference space for notes and a simple action plan your organisation may also choose to use It is completed with service users when using the Outcomes Star as a paper based system The Outcomes Star Online The Outcomes Star for homelessness along with all published versions of the Outcomes Star is available to use online via an intuitive web application called the Star Online This application allows workers to complete the Star Chart with service users on screen incorporating the scales from the User Guide and guidance for workers and service users The Star Online can be used in conjunction with a paper based system if preferred Workers and service users can complete the Star on paper and then input the scores online at a later date The Star Online is secure and provides a wide range of features that enable organisations to analyse and report on the outcomes data that staff have added to the system and to benchmark their outcomes against averages for similar organisations and client groups It is available to organisations using the Outcomes Star for an annual licence fee which is based on the number of keyworkers and managers using the Star For more information about the Star Online go to www staronline org uk Homeless Link members in the United Kingdom may want to use the Outcomes Star System an alternative web application similar to the Star Online but solely for the Outcomes Star in homelessness This was developed and funded a
34. ress or manage symptoms but it can be hard so you need ongoing support e Strong emotions or mental health issues are unlikely to trigger major problems e You take prescribed medication without support and may be exploring treatments 7 I am mostly on an even keel have ways to help myself when things feel tough Learning e You understand how stress and emotions can get in the way of sorting your life out e You make better choices and can see the effect of this on how you feel e If you have a mental health problem you understand the symptoms and know what can trigger a relapse and what helps you feel better 6 am trying ways to improve my emotional well being e You are doing things to lift your mood or manage stress or mental health symptoms and avoiding things that have a negative effect with support e You are going along with any prescribed treatment for mental health problems 5 believe that there are things I can do to feel better aD gt 2 T a e You believe you can find ways to feel better and or reduce the effect of any mental health problem You may see a link with drugs or alcohol if this is an issue for you 41am going along with help in relation to my mental or emotional health e You feel very anxious stressed or depressed or have psychotic symptoms and this affects your life and ability to move on e You accept help fairly consistently and go along with suggestions to feel better but don t take the initiat
35. s part of the London Housing Foundation Impact through Outcomes programme and is free to Homeless Link members See www homeless org uk for more information The Organisation Guide The guidance that follows is intended to support the implementation and use of the Outcomes Star Part one is for service managers and provides guidance and good practice examples in implementing the Outcomes Star across a service or organisation Part two presents guidance for support workers in using the Outcomes Star with service users Outcomes Star website The Outcomes Star website www outcomesstar org uk contains all versions of the Stars along with supporting information Page 26 Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Training and consultancy It is essential that workers receive training before using the Outcomes Star and most organisations could benefit from consultancy support with the implementation process For all versions of the Star Triangle provides a range of consultancy support and in house training courses and runs a licensed trainer scheme for those wanting to cascade training within their organisations For further details see www outcomesstar org uk outcomes star training Homeless Link also offers training and consultancy support for member organisations in the UK implementing the Outcomes Star For more information see www homeless org uk Outcomes
36. stly on things can do improve my an even keel to feel better emotional have ways well being to help myself when things feel tough lam going along with help in relation to my mental or emotional health often feel pretty don t like bad but don t feeling like want to talk this but there about it is nothing want to get out of this hole and feel better anyone can do about it Page 18 Outcomes Star Triangle Consulting Social Enterprise Ltd www outcomesstar org uk HES 7 Emotional and mental health detail This scale is about how you feel most of the time and how you manage any difficult emotions and or mental health issues whether diagnosed or not Perhaps you experience panic attacks have symptoms of post traumatic stress or use self harm to cope with difficult feelings Perhaps you need medication treatment or other support Perhaps there are things you could do to feel better 10 feel fine emotional and mental health are not a problem for me e You feel reasonably positive and can cope with life s ups and downs without support from a service and any help is from family and or friends e If you have a diagnosed mental health problem you manage symptoms well 9 mostly feel fine I just need support now and then Ea e As for 10 but you may not feel ready to let go of support 8 I am getting on with my life with support e You use strategies to feel OK and deal with st
37. t e As for 10 but you need occasional support to get back on track if things get difficult Self reliance 8 I manage my money OK but sometimes need help e You can plan ahead and manage your money OK and have no major issues e t helps to have support in this area as you are likely to experience setbacks 7 have no major issues with money and am learning to manage with support e You have no major money problems and follow payment plans for any debts e You are learning how to keep in control of your money but it s hard to plan ahead Learning 6 I am sorting out my money and trying to manage with what I ve got It s difficult e You are addressing issues such as debt or financial exploitation you take responsibility for benefit claims yourself and you mostly pay any rent arrears e You are aware of your budget though you often can t stick to it 5 need to sort out my money debts and benefits and have plans in place e You are starting to understand and take responsibility for your financial situation e You attend appointments and allow a service to contact debtors if appropriate e You may need a lot of support at this stage to face up to a difficult situation aD gt T a 41 will go along with help if workers can sort out my money for me e You are receiving the correct benefits at this point if not before e You consistently accept help with money issues or are open to talking about this 3 don t want these money
38. t isn t necessarily a case of moving from the first point on the ladder to the last We all start in different places and can move forwards or backwards as things change Wherever you are on this journey placing yourself on the ladder can help you to see where you have come from what your next step is and how we can best help you Page 4 Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk The Journey of Change Key points e At 1 you are causing or risking harm to yourself e At 3 you are accepting help e At 5 there is an internal shift towards taking responsibility and by 6 you are taking action for yourself e At 7 things are working well in some areas but there are issues in others and at 8 you are mostly managing for yourself but need support to maintain it e By 10 you don t need support from a specialist service Believing up to me as well Accepting K help want someone else to sort things out Stuck Leave me alone can make a difference It s Self reliance I can manage without help from the project Learning I m learning how to do this Outcomes JE Star Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Page 5 1 Motivation and taking responsibility Your internal journey Key points e At 3 you are acc
39. taking care of my physical health e As for 10 but you need occasional support to maintain healthy habits AEE 8 I mostly look after my health but need support to maintain this e You go to the doctor and dentist as needed and take any medication prescribed e You have a reasonably healthy diet some exercise and reasonable sleep routines but need support to keep this going 7 am learning to look after my health Learning e You see a link between healthier choices and feeling better and are more motivated to care for your health You may be feeling physically healthier e Change is difficult and you often slip back so you need support 6 am doing some things to look after my physical health e You attend health appointments on your own or with friends or family e You try some healthy changes and may start to get a sense of what works for you 5 need to take some responsibility for looking after my health D gt A T a e You want to look after your health but are not sure how to do it e You initiate discussions about health and actively explore options 4 I will go along with treatment provided e You see a doctor regularly if needed usually if someone else organises it e You may be feeling better as a result of your treatment 3 want help for pain or illness e You want to do something about any pain or discomfort you are in and will see a doctor or nurse if someone else takes you otherwise you probably won t
40. to develop such an accessible and effective set of tools Triangle and Homeless Link would particularly like to thank e St Mungo s for their vital role in developing the original Star Without their energy and vision the Outcomes Star may never have been born at all e Other organisations that have embraced tested and contributed include Thames Reach The Passage Single Homeless Project Rochdale Council s Supporting People Team and SP funded service providers in Rochdale We would also like to thank the Mental Health Providers Forum and its members who by commissioning a mental health version of the Star provided a rich new forum for developing the Star and made a significant contribution to the improvements e Lastly we would like to thank the London Housing Foundation for initiating the Impact through Outcomes Programme which made the development of the Star possible and for commissioning and funding the first and the second edition of the Star Page 2 Outcomes Star Triangle Consulting Social Enterprise Ltd and London Housing Foundation www outcomesstar org uk Introducing the Outcomes Star We are here to help you make changes to improve your life and the Outcomes Star helps us identify and focus on what needs to change This might mean finding and keeping a home building and improving relationships and learning new skills for dealing with problems Making these changes isn t easy but understanding how change works can
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