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TOMM is the outcomes model that puts the client at the centre and keeps them there. It takes a fully holistic approach to care and support. It assists practitioners to create positive outcomes providing the greatest opportunity for each young person to reach their potential.
History
In 2011 KYS, which is a long established Youth One Stop Shop providing high quality, professional and appropriate services, had a desire to prove that what they were doing was making a difference. Anecdotally they knew this to be true however they needed evidence.
At the time Raechel Osborne who is a founder of KYS and has over 25 years' experience in youth health and wellbeing, was participating in research surrounding the high suicide rate within the KYS local community (Kapiti).
The combination of this study and the desire for continued improvement, Raechel initiated the process to engage the services of a professional evaluation company. With funding from the Health Research Council of NZ (HRC) the research programme began with a goal to develop a way of effectively measuring the outcomes for young people using KYS services.
A comprehensive advisory board was established and the measurements model was also put through a rigorous impact evaluation. The report 'How we know what we are doing works' was published in 2013. Further to the research and evaluation carried out in producing this model and report, additional research and development has been carried out, and the original domains model has now been superseded by the TOMM® domains model.
Credentials
The original domains measurement model resulted from a four-year-long evaluative study, which included the input from an advisory board and many project partners.
The advisory board for this study included:
Professor Robyn Munford Social Work and Social Policy Programme, Massey University
Jackie Sanders Social Work and Social Policy Programme, Massey University
Associate Professor Sally Merry - The Werry Centre, Faculty of Medical & Health Science, University of Auckland
Dr Karolina Stasiak - The Werry Centre, Faculty of Medical and Health Science, University of Auckland
Dr Sue Bagshaw - Collaborative for Research and training in Youth Health
Dr Jane Davidson - Principal, Real Evaluation Limited
Sue Blythe - Alcohol and drug consultant to, and councillor at KYS
Kataraina Pipi Principal, FEM 2016 Ltd
Laurie Porima Principal, LLE research Ltd
Nan Wehipeihana Principal, Research Evaluation Consultancy Ltd
Vicki Wilde Principal Vicki Wilde Ltd
Project Partners - Kapiti Youth Support:
Raechel Osborne - Co-Founder and current Manager of Kapiti Youth Support (KYS), RGON (Registered Nurse & Obstetric Nurse)
Doctors:
Sue Wilson, Diane Carter, Amanda Clarke
Nurses:
Debbie Jones, Catherine Skelsey, Jordyn Long
Youth Workers & Mentors:
Sue Gardiner, Darryl Gardiner
Counsellors:
Sue Blyth, Andrew Brown
Clinical Psychologist:
Kelly Donovan
Social Worker:
Briar Gallagher
Support Staff:
Lisa Tong, Lauren Gibbs
Youth Project Advisors:
Drew Croft, Austin Delaney-Girdlestone, Emma Curie, Ameera Gray, Shannon Mahu
The Wellbeing Framework
The domains framework is made up of eight domains and 18 subdomains and collectively they represent the holistic universal truths for human wellbeing.
Assessments Rating Scale
Each subdomain has a rating scale for measuring the Young Person's wellbeing.
Each rating has a clearly defined descriptor for assessments ranging from Seriously at Risk - At Risk - OK / Some Challenges - Good - Thriving.
Inter-Disciplinary Modalities
A necessary strength of any wellbeing data capture system is its relevance and application for staff operating from differing modalities. TOMM® has been and continues to be developed alongside practitioners from multiple modalities. This ongoing development is one of TOMM®'s greatest strengths.
Shared Language
This framework provides a shared language describing a Young Person's heath and wellbeing enabling assessors to make a judgement (assessment) in a systemic, consistent and transparent manner.
Descriptors & Cultural Relevance
This framework is made up of clearly defined descriptors from which each practitioner formulates their assessment. The descriptors provide consistency of assessments across all Young Persons, mitigating value laden assessments.
The measurement model is framed by the Te Whare Tapa Wha model (developed by prof. Mason Durie) which is widely accepted and applied. It is this cultural reference which makes the descriptors particularly relevant to the New Zealand setting.
Research & development
The domains measurement model has since undergone further development. The model which has emerged from this additional research and development is now deemed to be the most holistic and comprehensive framework available in the market. This is the framework that sits at the centre of TOMM, providing practitioners worldwide with a ground-breaking method of measuring outcomes for Young People.
TOMM has been and continues to be developed in partnership between the digital developers and the practitioners who use it. It is this partnership that has resulted in each function and tool within TOMM being developed in direct response to the requirements of the practitioners and organisations who use it. This research and development is ongoing. It is this inclusive and collaborative process which has resulted in a genuinely robust model ensuring TOMM's on going relevance to its users.
Ongoing Project Advisors:
Doctors, Nurses, Clinical Psychologists, Counsellors, Mentors, Youth Workers and other Support Staff at Kapiti Youth Support (KYS)
User Experience
TOMM® is the most delightfully user friendly outcomes measurement model. Its highly intuitive, aesthetically-pleasing design makes the model a pleasure to work with.
Young Person at the Centre
TOMM® loyally holds the Young Person at the centre while providing the practitioners they are engaged with a set of tools rigorously designed to support best practice, providing the best possible chance of each Young Person reaching their potential.
Improve Outcomes
TOMM® provides you with the vital insights required for gaining the best possible understanding of young people with a view to improving, refining or extending the services, interventions and programmes being provided.
This is essential for any organisation interested in having the young people they are working alongside achieve their potential.
Tracking outcomes
TOMM® tracks outcomes over time. TOMM® does this by providing an holistic, comprehensive framework of measurements from which the Young Person's progress is benchmarked over the duration of their engagement with the service.
Key Indicators
As well as the framework of the universal truths for human wellbeing TOMM® provides tools which are customised to the specific requirements of each organisation. These may be anything from BMI to fitness measurements, disease management and police interactions.
Sharing Information
TOMM® allows information to be shared between practitioners for the benefit of the Young Person in their shared care. The sharing of information improves outcomes for the Young Person by ensuring everyone involved has a greater understanding of the Young Person's strengths and challenges.
Reporting
Simple, easy to read graphs display entry, progress and outcome assessments for individuals, groups and programmes so you can clearly see which interventions, programmes or services work for which person.
Real-Time Evaluation
A set of evaluative criteria is embedded in the outcomes measures. The descriptors for the outcomes measures outline the criteria for 'judging' (assessing) how good a Young Person's health and wellbeing is. TOMM® has automated functions which ensure the data entry process happens in 'real time'. What this means is 'real time' evaluation is always in progress.
Early Intervention
Real time evaluation combined with high visibility of current issues which trigger alerts for Young Persons whose health and wellbeing is 'slipping' supports the earliest possible application of interventions.
Targeting Your Resources
Visibility of outcomes provided by TOMM® also assists organisations and funders to prioritise where they target services and programmes to best meet the needs of young people.
Organising Your Team
This visibility also assists organisations with workforce development and capabilities to ensure that staff are well placed to meet the needs of the young people they are working with.
Access From Anywhere
TOMM® has special features to assist NGO's with government reporting, reducing the time and effort this consumes of your valuable resources.
for help and support email ussupport@asktomm.com
or give us a call
TOMM support team
DDI: +64 4 902 4416
