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Record W3081201946 · doi:10.1097/cxa.0000000000000086

HerWay Home Program for Pregnant and Parenting Women Using Substances: A Brief Social Return on Investment Analysis

2020· article· en· W3081201946 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
venuePublished in a venue whose home country is Canada.

Bibliographic record

VenueThe Canadian Journal of Addiction · 2020
Typearticle
Languageen
FieldMedicine
TopicPrenatal Substance Exposure Effects
Canadian institutionsUniversity of Victoria
Fundersnot available
KeywordsOutreachLiberian dollarMedicinePovertySocial WelfareWelfareProxy (statistics)PsychologyNursingBusinessEconomic growthPolitical scienceEconomicsFinance

Abstract

fetched live from OpenAlex

ABSTRACT Objectives: HerWay Home is a multi-service drop-in and outreach program for pregnant/parenting women with substance use issues and other complex factors such as poverty, mental illness, trauma and/or violence, precarious housing, and child welfare involvement. This article presents findings from a small-scale social return on investment (SROI) analysis included in the overall 2-year (2015–2017) evaluation of the program. Methods: The SROI looked at outcomes associated with: housing, healthy pregnancies, and child welfare involvement. These factors were chosen for their primacy in women's lives: safe and stable housing is a basic requirement for overall well-being; healthy birth outcomes are linked to prenatal care; and, women keeping and/or regaining custody of their children is a proxy for other changes to life circumstances such as having addressing circumstances that give rise to child safety risks. The SROI was based on 81 women for whom an intake was completed during the evaluation timeframe. The analysis was intentionally conservative in its number and choice of program impacts. Results and Conclusions: The SROI analysis for HerWay Home demonstrated that for every dollar invested in the program, HerWay Home created a social value of approximately $4.45. These findings suggest that HerWay Home is a worthwhile investment, with considerable value produced through reduced use of expensive hospital care, fewer infants and children being placed in foster care, and fewer children born substance-affected. Résumé Objectifs: HerWay Home est un programme multi-services sans rendez-vous pour les femmes enceintes/ayant des responsabilités parentales qui ont des problèmes de toxicomanie avec d’autres facteurs complexes tels que la pauvreté, la maladie mentale, les traumatismes et/ou la violence, le logement précaire et l’implication des services de la protection de l’enfance. Cet article présente les résultats d’une analyse à petite échelle sur le Retour Social sur Investissement (SROI) inclus dans l’évaluation globale du programme sur une période de deux ans (2015–2017). Méthodes: Le SROI a examiné les résultats associés au logement, aux grossesses saines et aux programmes liés à la protection de l’enfance. Ces facteurs ont été choisis pour leur primauté dans la vie des femmes: un logement sÛr et stable est une exigence fondamentale pour le bien-être général; des résultats de naissance sains sont liés aux soins prénatals; et, les femmes qui gardent et/ou retrouvent la garde de leurs enfants sont un indicateur indirect d’autres changements dans les conditions de vie, comme le fait d’essayer de résoudre les circonstances qui entraînent des risques pour la sécurité des enfants. Le SROI était basé sur l’étude de 81 femmes pour lesquelles une admission avait été effectuée durant la période d’évaluation. L’analyse a été délibérément conservatrice quant aux nombres et aux choix des impacts du programme. Résultats et conclusions: L’analyse SROI pour HerWay Home a démontré que pour chaque dollar investi dans le programme, HerWay Home a créé une valeur sociale d’environ 4,45 $. Ces résultats suggèrent que HerWay Home est un investissement rentable, avec une valeur considérable produite grâce à une utilisation réduite des soins hospitaliers coÛteux, moins de nourrissons et d’enfants placés en famille d’accueil et moins d’enfants nés atteints de toxicomanie.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.553
Threshold uncertainty score0.443

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.028
GPT teacher head0.262
Teacher spread0.234 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it