Beyond outcomes

On 30th November, the PIElink's lunchtime forum consists in an interview with Joy MacKeith, the founder and developer of the Outcome Star - one of the most commonly used, person-centred outcomes measures, in use across the homelessness and social care sector.

With a new report, 'Enabling Help'  MacKeith first dissects the failure of the dominant contemporary paradigms for service provision:

  • The medical paradigm, which focuses on the helper. It assumes the person is sick or fl awed and the helper has the answers
  • The bureaucratic paradigm, which focuses on the organisation delivering help. It assumes that fairness and risk management are best served through standardisation
  • The market paradigm, which focuses on the commissioner. It assumes that performance is maximised through competition and financial incentives
  • The natural sciences, which paradigm focuses on the intervention. It assumes that what works can be identified and replicated independently of context.

In their place, she argues for a more radical shift in the delivery and commissioning of services, with a firm commitment to person-centred and person-led services. In this. McKeith joins her voice to all those arguing for systems change.

To register, email :

For the full Season Three programme, topics and dates, see: HERE


But for those with the time and opportunity, DO see also the much earlier article from the 'Housing Care and Support journal (HERE), in which she outlines the philosophical and ethical roots of the Outcomes Star approach, in liberation theology and empowerment practice.

Further background


Enabling help : HERE


Library items

Enabling help : HERE

Conducting research and evaluation in a person-centred way : HERE

Wellness Action Plans : HERE

Behaving like a system : HERE

Do complex needs need 'complex needs services' ?  (Part 1) : HERE

Do complex needs need 'complex needs services' ?  (Part 2) : HERE


PIElink pages

The forums page : HERE

Approaches to evaluation : HERE

Evaluation by outcomes : HERE

Evaluation of PIEs :  HERE

Whole systems as PIEs : HERE

Enabling environments : HERE