Monitoring the implementation of the various core elements of the Framework and evaluation of its effectiveness is essential to demonstrate progress and achievement of the Framework objectives.

It is anticipated that both monitoring and evaluation of the Framework will be accounted for through jurisdictional reporting against the National Framework.

5.1 Evaluation of the Framework

Well-designed evaluations will be an important element of the Framework. These evaluations should be conducted at both the national and jurisdictional level.

At a national level, the sum of activities across jurisdictions should be assessed to determine how effective efforts have been in pursuing the stated objectives of the Framework. For example:
  • How effective was the collective response of jurisdictions in improving consistency of preliminary and comprehensive health care assessments?
  • Did the implementation of the Framework lead to improvement of health outcomes for children and young people in OOHC?
At the jurisdictional level, evaluations will determine the effectiveness of the Framework in guiding jurisdictional policy development and clinical decision-making. Evaluations will be designed to address the complexities of implementing modifications to existing programs and cover a range of measures, including:
  • Quantitative: awareness and use of the Framework, uptake of assessments (including the % of eligible individuals receiving assessments and % completion within specified timeframes), development of a Health Management Plan and a health record, referrals and access to specialists (ie pathway to care).
  • Qualitative: nature of assessments, outcomes and remediation of problems.
  • Consumer: engagement and adequacy/acceptability of the services provided.
A significant advantage of a robust approach to monitoring and evaluation will be the opportunities to gather more comprehensive data and perform short-term and longitudinal research on the OOHC population to assess the viability and sustainability of the Framework and to support future evidence-based policy and program development.