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Body Brave Refresh
Theory of Change Questionnaire & Results
Theory of Change Questionnaire
Theory of Change Questionnaire Results
Not prioritize
1. WHO- Who is Body Brave’s population of focus?
1. Where will Body Brave do its work?
What specific outcomes do you want to achieve?
Additional actors
Skills
Approaches
Approaches link and reinforce
Essential activities
Approach contribute to impact
Resource allocation
Column 12
1
Out of scope : children under 17; not focusing on work/reach outside of Canada.
Body Brave serves adult clients who are on their recovery journey and self identify as having, or have had, an eating disorder/disordered eating(ED/DE). No formal medical diagnosis is necessary. Body Brave(BB) is for adults only ,clients are 17 years old and older. Clients are not under 17 years of age. Body Brave is not high intensity service but rather low intensity service and does not replace in patient or out patient high intensity acute care treatment options. Body brave embraces diversity equity and inclusion and is for all persons of all: races, gender identities, cultures and backgrounds. In the future, caregivers of clients who identify with ED/DE could be included in BB scope as users of our services. Peer support clients could also be included in future plans for BB work and scope and priority population.
Body Brave will continue to work remotely/virtually across Ontario with further reach in 5 -10 years across Canada with satellite locations either franchised or managed directly by BB staff
For this question I have zeroed in on two streams for outcomes and evaluations rathe than identify numbers or data sets:
1.Micro level-recognizing and evaluating individual contributions and achievements-and setting bench marks for staff eg-too often staff are streamed into narrow job functions, the need is identify staff functions and recognize the role and scope and subsequently assigning outcomes for each role and each function x number of groups per year; x number of admin problem solving queries ; x number of turnovers of staff and Board and analyze the why ( possibly through exit interviews) Identify what works and connect to positive outcomes/moments
2. Macro level--evaluate the effectiveness of Body Brave as an organization meeting the processes as set out in a strategic plan. How do we at Body Brave determine effectiveness of our organization? Asking the following questions may help -are we relevant and why; should we limit/narrow our scope and not become “too much to too many”; do clients still need us in the way that they used to in 2019-2020?; are we gathering info from clients, Community, organizations (StJoes, HHS, NEDIC, EDNS, Sheena Place etc) about their needs/wants of us at BB in relation to eating disorders recovery?; to what extent are we scanning the larger environment to be on focus/in focus on ED?DE.
Who are the key champions for BB? Groups include our funders and our like- minded ED/DE organizations. We need to build a team powerful enough to guide and support big change in the years ahead. This team develops the right mission, vision and values for BB and strategy for change efforts to guide us into the future. Included in this group includes people outside of ED world , and includes funders from political leaders in provincial and federal Ministries(MOH) , philanthropic leaders. A full literature review could be conducted to obtain and gain knowledge and influence to carry us into the future. Link to research projects and publish findings raising profile of BB as a key “go to” for ED DE information and support.
One of the areas of expertise at BB is the lived experience of its staff, Board, volunteers and students. This informs the deep understanding of the core business. Core team and Board members should include people familiar with ED/DE and have business acumen. It is important to note that although BB is a democratic organization we need to also think of a firm structure with clear rules, boundaries, roles, regulations and clear decision making. BB is good at identifying client needs and creating an excellent platform to support technologically the recovery support program, care team and learn worlds platforms around those processes. Thinking ahead, how will technology help us and how could it hinder us and the clients. Adapting to and listening to client ‘s technological needs is as important as serving their ED/DE clinical needs and wants.
In general, all of these above ten approaches link to create a staff, volunteer, Board and student commitment to BB. By this I mean , that there is a clear mission and vision for us to be guided and follow. The shared values allow each of us individually, and collectively as a whole, to work together as a cohesive team. This collective vision allows the identified BB goals to be moved to action and be measured.
All are essential but I am taking this question in a slightly different direction. I wish to emphasize the nature of our health care work at BB eating disorders. When clinicians come together with non clinical staff, volunteers, students, it is necessary to create a common language. If we do not “do” that , our vision for people with ED/DE, becomes a barrier to listening, understanding and working together. Defining terms and building a common vision and direction that is completely understood is essential to strategic planning and BB intended impact as described below.
2
Less focus on family/support teams directly → limiting to resources on how to speak with your support team, and resources directing them to personal support, for example.
Canadians directly struggling with EDs
Across Canada
3
Training and Education; any research project that is not advancing us towards out intended outcomes; extensive data collection and analysis; Body Peace (unless it’s focus is on advancing us to our intended outcomes)
Individuals with eating disorders / disordered eating
Largely virtual - treatment services will be accessible online in every province and territory in Canada. I love the idea of having ‘satellite’ in person clinics in every province.
Increased number of individuals reaching out for help with their ED / disordered eating; increased number of people accessing community treatment for EDs; increased number of individuals feeling hope and autonomy about their recovery; decreased number of people on waitlists/decreased waittimes for higher levels of care (that might be a bit advantageous and not directly BB, but the idea is if more people get better community care then there’s less of a need for extensively long waitlists for higher levels of care like hospital based programs); increased awareness of eating disorders and improved understanding of how to navigate the health care system for EDs; a shift in our approach to the treatment of EDs to be more impactful and appropriate for clients, wherever they may be in their journey to recovery
Government (all levels), hospitals programs such as St Joes, doctors and nurse practitioners and other HCPs, HFHT and other health teams in ON - nationally, health clinics of all kinds.
We are good at listening to and lifting up voices of lived experience (although we are certainly not perfect at this either) - the fact that this is a core value of ours and woven into all that we do, sets us apart and makes us approachable and allows cts to feel more accepted and respected. Our treatment program offerings are unique (I wouldn’t say based on rigorous evidence, but rather a combo of some evidence + lived experience + they are evidence generating). Body Brave is very compassionate and has very passionate staff, contractors, volunteers, students etc. who try very hard to meet the clients where they are at. We are also good at being innovative and creative (ex, the whole RSP).
Absolutely critical would be support and/or treatment sessions (any or all of the following: live and pre recorded support sessions, live treatment groups, intake calls of some form, 1:1 sessions). Specifically I think our RSP and treatment groups are critical.
I think the RSP and treatment groups go together because the RSP is really the ‘virtual waiting room’ to access live treatment groups, 1:1 work, and other forms of treatment outside of BB.
RSP - some sort of self assessment and pre recorded sessions
Treatment groups - I think there’s value in both 10-week and drop in treatment groups. I think it’s essential we have different types of groups to better suit individuals with different types of EDs at different points on their journey to recovery, to avoid being too general
1:1 treatment - intake calls and medical assessments (I think medical assessments are vital to mitigate risk and help higher risk folks get properly flagged and assessed)
Training and education - I’m not sure this is absolutely essential for impact/outcomes. Indirectly, yes, but not necessarily directly essential.
Research - specifically research on our groups, potentially a future project about RSP…
RSP - allows increased # of folks reaching out for help to GET some form of help right away and a self assessment allows them to better navigate the healthcare system to avoid long waitlists for a level of treatment that may or may not be appropriate. Also an important virtual waitingroom while waiting for HLOC.
Treatment groups - we are offering community based virtual treatment which is much more affordable and can reach many more individuals than hospital based programs, and can reach many more people sooner.
1:1 treatment - same as above
Training and ed - awareness…again this approach feels more indirect to the intended impact
Research - by conducting research on our unique groups we can continue to advance them and share our learnings with the world for better ED care all around, and further advocate for more funding towards community ED treatment options such as BB. More research on self assessment tools would be amazing to help better direct folks in the healthcare system.
RSP - 35%
Treatment groups - 35%
1:1 treatment - 15%
Training and ed - 5%
Research - 10%
4
Less emphasis on spreading training programs. Ideally, less time spent on fundraising so we can focus on the work itself.
Young people aged 17-35 with disordered eating or eating disorders, in Canada
Both Canada-wide (RSP) and provincial (treatment groups)
Measurable change in ED behaviours, measurable change in quality of life, measurable change in self-esteem. Engagement with the RSP. Effective assessment of high risk clients. Development and testing of system navigation tools.
Organizations such as EDNS, Bridgepoint, NIED, NEDIC, as well as mental health organizations such as MHCC, CMHA, CAMH. Also, students from selected universities
Committed engagement by each member of the team. Healthcare professionals involved in treatment programs. Evidence-generating, innovative programming. Strong commitment to student education.
Thru the RSP, we are able to generate awareness about EDs among our clients and the members of their care team. Similarly, we build knowledge about EDs in our treatment groups, and by educating our students. We treat clients as well as team members with respect. We believe in the value of each team member, including our students.
Robust evaluation strategies are essential for impact, in all areas of our work. Fostering of a mutual learning environment helps us to draw on the strengths of each team member. Good communication is an aspect of all our approaches that is essential for impact. Innovative problem-solving is another key aspect of our approaches.
5
6
Not 100% sure I understand the question... possibly youth affected by ED/DE? And organizations that target youth specifically?
1. Individuals (adults 17+) struggling with eating disorders/disordered eating
2. Care providers (e.g., healthcare providers, caregivers/loved ones) supporting with individuals (adults 17+) struggling with eating disorders/disordered eating
Support = Nationally (across Canada)
Treatment = Provincially in Ontario
1. **(Variety/Flexibility):** Match between client needs and intervention (ie., duration + intensity); equitability of services; accessibility of services
2. (Education/Outreach): method of communication with clients and care providers; ability to engage external organizations (i.e., coalition building)
3. (Evaluation/Innovation): availability and engagement of external organizations/researchers; data management/security provisions.
7
Body Brave might not prioritize training & education,
Body Brave’s population of focus are individuals in between inpatient and outpatient care that temporarily require a place to go, with the goal to enter inpatient or outpatient care.
Body Brave will do its work all across Canada with its accessible resources and services.
Body Brave offers a stress-free, easy-to-access service with an ecosystem that clients can enter and exit when they need to. This would include simple, easy to understand onboarding and resources & services that are accessible at any time.
Body Brave will need to work with a government body to ensure fluidity of services in the health care system and to avoid friction with other organizations in the work that we do.
Body Brave is distinctly good at what it does due to its flexibility to change, and data informed programming and services from our programming data collection efforts.
Open lines of communication with our clients, autonomy for clients in the way they access our services, variety of services based on group or individualized treatment.
Our approaches link to each other through openness and giving the most options to clients while fostering communication with our community to better inform the direction of our services.
Open communication is essential to offering the services that make the most sense to our clients and ensuring feedback is heard. Giving clients autonomy in the way they access our services gives them full control of their recovery and lessens the administrative burden of day-to-day operations. Offering variety of services allows clients of many different backgrounds with varying levels of comfort to enter the Body Brave ecosystem.
All three approaches facilitate accessibility, scaling of the organization, and individualized care. Open communication with clients ensure that we maintain accessibility, client autonomy decreases admin burden and allows for scaling of our services, and variety of services allow for individualized care.
Open communication - 40%, Client autonomy - 20%, Variety of Services - 40%
8
Teens and adults struggling with an eating disorder/disordered eating looking to begin, continue, & or maintain recovery.
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Wordcloud Theory of Change Questionnaire Results
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