Stakeholder
Stakeholder
Individuals
Outcome
Managing money (change in)
Outcome Description
not an outcome yet - need to see indicators
Outcome
Thinking clearly (change in)
Chain of Events
Yes
Outcome
Outcome
Forests & woodlands for recreation access (change in)
Chain of Events
Yes
Outcome
Accidental fire (reduced prevalence)
Outcome Description
This outcome describes the reduced prevalence of accidental fire. Fires are categorised as one of: accidental, deliberate or unknown, according to the probable cause, as observed at the scene. Those recorded as ‘unknown’ are grouped together with ‘accidental’ for all outputs.
Fire Statistics Great Britain, 2010-11===Chain of Events=== Crime (Scottish Outcome Domain)
Outcome
Accommodation stability (improvement in)
Outcome
Alzheimers disease- change in patient's situation due to curing the disease
Outcome Description
This outcome describes the change in Alzheimer's sufferer's situation due to the finding a cure for the disease. There would be a change in the patient's situation as they would be cured of Alzheimer's and their health status would revert back to how it was before the onset of the disease.
Outcome
Alzheimers disease- change in patient's situation due to the prevention of further deterioration
Outcome Description
This outcome describes the change in Alzheimer's sufferer's situation due to the prevention of further deterioration of the disease. The sufferer would remain at the current stage of Alzheimer's disease, however there would be no further deterioration in the patient's health in regards to Alzheimer's.
Outcome
Alzheimers disease- change in patient's situation due to the reduction in the burden of the disease
Outcome Description
This outcome describes the change in Alzheimer's sufferer's situation due to the reduction in the burden of the disease. There would be a reduction in the burden of the disease upon the Alzheimer sufferer as a result of treatment.
Outcome
Amount of leisure time (change in)
Chain of Events
Yes
Outcome
Amount of leisure time available (change in)
Chain of Events
N/A
Outcome
Arts and culture (increase in the opportunity to participate in)
Outcome Description
This outcome describes the increased opportunity for people to participate in arts and culture.===Chain of Events=== Strong community networks/civic infrastructure/ widespread involvement in the organisational life of the community; a sense of local identity/solidarity/equality; reportedly high levels of interpersonal trust and reciprocal support
Outcome
Aspiration (change in)
Chain of Events
Yes
Outcome
Aspirations and feelings about the future (improved)
Outcome Description
Aspirations and feelings about the future (improved)===Chain of Events=== Healthier Lives (Scottish Outcome Domain)
Outcome
Attitudes to differences (improved)
Outcome Description
Improved attitudes to differences===Chain of Events=== Healthier Lives (Scottish Outcome Domain)
Outcome
Outcome
Autonomy/self-efficacy (change in)
Chain of Events
Yes
Outcome
Better access to services
Outcome Description
Better access to services
Sustainable Places (Scottish Outcome Domain)===Chain of Events=== Isolation (reduced levels)
Participating in arts and cultural activities (increase in number of people)
Community groups (increase in participation)
Employment opportunities (increased availability of)
Evidence [http://assets.dft.gov.uk/statistics/series/accessibility/making-the-connections.pdf Making the Connections: Final Report on Transport and Social Exclusion]
Outcome
Business (Scottish Outcome Domain)
Outcome Description
This is the outcome domain for Scotland.===Chain of Events=== Below are the outcomes associated with the Scottish Domain:
Key services access (change in)
Local shops and services accessibility (change in)
Public transport access (change in)
Availability of ethical products (change in)
Outcome
Employer confidence in young people (change in)
Outcome Description
Employer confidence in younger applicants
Outcome
Changing patterns of behavior
Outcome Description
too general - need to see the indicators
Outcome
Community groups (increase in participation)
Outcome Description
Increased participation in community groups===Chain of Events=== National Identity (Scottish Outcome Domain)
Outcome
Community infrastructure and resources (improved access)
Outcome Description
Community infrastructure and resources (improved access)===Chain of Events=== Healthier Lives (Scottish Outcome Domain)
Outcome
Confidence (change in)
Outcome Description
This outcome is intrinsic - valued by and related primarily to individuals (vs extrinsic: can be measured or valued by other people) - and is of benefit to the individual specifically (vs having benefit to society).
Source for this distinction: The Young Foundation; "A Framework of Outcomes for Young People" report: http://www.youngfoundation.org/files/images/ework_of_Outcomes_for_Young_People_July_2012_0.pdf
Outcome
Congestion-related stress (change in)
Chain of Events
Possibly - through productivity gains to individuals and the economy plus contribution to costs of stress-related illness.
Outcome
Contented with spirituality
Chain of Events
Outcome
Dangerous driving behaviour (reduced prevalence)
Outcome Description
This outcome describes the reduction in the prevalence of dangerous driving behaviour. "Anti-social driving can range from careless driver behaviour to deliberate activity. It not only affects road safety but also the quality of life in local neighbourhoods."
Operation Crackdown===Chain of Events=== Crime (Scottish Outcome Domain)
Outcome
Outcome
Outcome
Emotional Well-Being (improved)
Outcome Description
Improved emotional well-being===Chain of Events=== Healthier Lives (Scottish Outcome Domain)
Outcome
Outcome
Employment Opportunities (Scottish Outcome Domain)
Outcome Description
This is the outcome domain for Scotland. Below are the outcomes associated with the Scottish Domain:===Chain of Events=== Employment opportunities (increased availability of)
Suitable employment opportunities (increased availability of)
Disadvantaged groups have increased access to relevant employment opportunities
Incentives to seek employment (increase in)
Functional skills (improvement in)
Interpersonal skills (improvement in)
Motivation, attitudes and behaviours (improvement in)
Skills for finding work (improvement in)
Occupation-specific skills (improvement in)
Relevant work experience (improvement in)
Outcome
Employment incentives (increase in)
Outcome Description
Increase in employment incentives===Chain of Events=== Employment Opportunities (Scottish Outcome Domain)
Outcome
Employment opportunities (increased availability of )
Outcome Description
Increased availability of employment opportunities
Outcome
Employment opportunities (increased availability of)
Outcome Description
Employment Opportunities (Scottish Outcome Domain)===Chain of Events=== Increase in the amount of people gaining employment; income increase as a result of getting a new job
Evidence: Kibble Works SROI Report
Outcome
Outcome
Environment (Scottish Outcome Domain)
Outcome Description
This is the outcome domain for Scotland.===Chain of Events=== Below are the outcomes associated with the Scottish Domain:
'disamenity costs' of landfill (change in)
Forests & woodlands for recreation access (change in)
Forests and woodlands accessibility (change in)
Amount of recycling (disaggregated by type of material) (change in)
Waste produced (disaggregated by type of material) (change in)
Freeing up resources associated with landfill costs
Greenhouse gas emissions (change in)
High Conservation Value Forests Preserved
Greenhouse gas emissions (reduction in)
Status of endangered species (change in)
Preserved or restored coastal estuaries (change in)
Preserved or restored forests and woodland (change in)
Preserved or restored grass & rangeland (change in)
Preserved or restored lakes and rivers (change in)
Preserved or restored swamps & floodplains (change in)
Preserved or restored tidal marsh (change in)
Outcome
Environmental Impact (Scottish Outcome Domain)
Outcome Description
This is the outcome domain for Scotland. Below are the outcomes associated with the Scottish Domain:
costs' of landfill (change in)
Access to forests & woodlands for recreation (change in)
Accessibility of forests and woodlands (change in)
Freeing up resources associated with landfill costs
The amount of preserved or restored forests and woodland (change in)
The amount of preserved or restored grass & rangeland (change in)
The amount of preserved or restored lakes and rivers (change in)
The amount of preserved or restored swamps & floodplains (change in)
Outcome
Outcome
Family relationships (increased satisfaction)
Outcome Description
Family relationships (increased satisfaction)
Outcome
Fatalities from fire (reduced prevalence)
Outcome Description
Reduced prevalence of fatalities from fire===Chain of Events=== Crime (Scottish Outcome Domain)
Outcome
Feeling of self worth (improved)
Outcome Description
Improved feelings of self worth
Outcome
Financial literacy skills (change in)
Chain of Events
No
Outcome
Drug use (freeing up resources associated with)
Chain of Events
Yes, as reducing the use of drugs and excessive use of alcohol can mean young people are more likely to stay in education or find employment or training, thus improving their future earning capacity. It can also save significant amounts for the health services.
Outcome
Friendships (increased satisfaction)
Outcome Description
Increased satisfaction in friendships===Chain of Events=== Healthier Lives (Scottish Outcome Domain)
Outcome
Outcome
Health and mental health (change in)
Chain of Events
Yes
Outcome
Health costs
Outcome Description
Change in health insurance costs (this mainly refers to the USA)
Outcome
Healthier Lives (Scottish Outcome Domain)
Outcome Description
This is the outcome domain for Scotland.===Chain of Events=== Below are the outcomes associated with the Scottish Domain:
Feeling of self worth (improved)
Resilience, grit and determination (improved)
Emotional Well-Being (improved)
Motivation and Activity (improved)
Aspirations and feelings about the future (improved)
Autonomy and control (increased)
Family relationships (increased satisfaction)
Friendships (increased satisfaction)
Social networks and involvement (improved)
Perceptions of community and neighbourhood (improved)
Attitudes to differences (improved)
Participation (increased levels)
Community infrastructure and resources (improved access)
Premature death from illness, disease or medical condition (reduced likelihood of)
Death from cardiovascular disease (reduced likelihood of)
Death from respiratory disease (reduced likelihood of)
Death from liver disease (reduced likelihood of)
Death from cancer (reduced likelihood of)
Functional independence (improved)
Time spent in hospital (reduction in)
Recovery time after illness/injury (reduction in)
General physical health (improved)
Control over illness (increased perception)
Optimism about illness (increased level of)
Patient involvement in decision making (increased level of)
Waiting times for medical treatment (reduction in)
GP registration (increased rate of)
Mental state, including reduced anxiety and distress (improvement in)
Access to and increased use of support services (improvement in)
Service users feel more informed about their health and well-being
Admissions to hospital or need to seek medical help (reduction in)
Mental health inequalities between different groups (reduction in)
Management of mental health problems (improvement in)
Service users have increased self-esteem
Service users increase their skills and gain appropriate qualifications
Service users enter employment (increase in)
Service users have improved social networks
Service users have improved physical health
Service users become more active citizens
Service users are better able to manage their finance
Service users feel in control of their lives (increased numbers)
Support for carers (improvement in)
Carers have improved well-being and life satisfaction
Attitudes towards family members with mental health problems (improvement in)
Knowledge of mental health (improvement in public)
Experience of mental distress (public have improved attitudes towards people)
Health practitioners are better able to identify mental illness and act appropriately
Understanding of mental health problems in the workplace (improvement)
Policy changes create a society more supportive of those with mental health problems
Outcome
High quality supported and sheltered accommodation is available for those who need it
Outcome Description
High quality supported and sheltered accommodation is available for those who need it
Independent Living (Scottish Outcome Domain)===Chain of Events=== Perceptions of community and neighbourhood (improved)
Participation (increased levels)
Autonomy and control (increased)
Increase in confidence
Outcome
Homeless (decrease in number of people)
Outcome Description
Homeless (decrease in number of people)
Independent Living (Scottish Outcome Domain)===Chain of Events=== Accommodation stability (improvement in)
Overall level of crime (reduction in)
Alcohol consumption (change in)
Use of illicit drugs (change in level)
Mental state, including reduced anxiety and distress (improvement in)
Outcome
Outcome
Outcome
Family Relationship imrpovement (Parent-child)
Outcome Description
Change in relationship of a parent with their child, from the perspective of the parent.
Outcome
Incidence of domestic violence (change in)
Chain of Events
Possibly
Outcome
Confidence young LGBT people (increase in)
Outcome Description
Mental health, well-being and suicidal tendencies can show increased frequency among young LGBT people.===Chain of Events=== Yes.
Outcome
Indebtedness (change in)
Chain of Events
No
Outcome
Independent Living (Scottish Outcome Domain)
Outcome Description
This is the outcome domain for Scotland. Below are the outcomes associated with the Scottish Domain:===Chain of Events=== Sleeping rough (decrease in number of people)
Homeless (decrease in number of people)
Stable accommodation (improvement in)
Support for those who want to live independently
High quality supported and sheltered accommodation is available for those who need it
Successful move through emergency and transitional shelter
Information about rights and entitlements (access to)
Skills needed to maintain a home (increase in the development of)
Economic capacity needed to maintain a home (increase in)
Relationships between landlords and tenants (improvement in)
Community attitudes to social housing tenants and homeless people (improvement in)
Investment in housing (increase in)
Outcome
Outcome
Individual well-being: improved personal functioning (change in)
Chain of Events
Yes - the outcomes may be due to the person being less isolated and better able to make friends
Outcome
Inequalities (Scottish Outcome Domain)
Outcome Description
This is the outcome domain for Scotland. Below are the outcomes associated with the Scottish Domain:
Access to accommodation (change in)
Freeing up resources associated with supporting young people who are NEET
Outcome
Outcome
Internet and media (improved access)
Outcome Description
Improved access to the internet and media===Chain of Events=== National Identity (Scottish Outcome Domain)
Outcome
Interpersonal skills (improvement in)
Outcome Description
Employment Opportunities (Scottish Outcome Domain)===Chain of Events=== Interpersonal skills gained; individuals preparing for the workplace; improved quality of life; gaining paid employment
Skills for finding work (improvement in)
Overall quality of life (improved/maintained)
Evidence: Kibble Works SROI Project, p. 17
Outcome
Job satisfaction
Chain of Events
Outcome
Journey times to key local services (reduction in)
Outcome
Killed or seriously injured in road traffic accidents (reduction in people)
Outcome Description
Reduction in people who are killed or seriously injured in road traffic accidents===Chain of Events=== Crime (Scottish Outcome Domain)
Outcome
Air pollution (change in)
Chain of Events
Possibly - through impact of loss of well-being for individuals on NHS services
Outcome
Alcohol dependence (change in)
Chain of Events
Yes - see the alcohol star for an example of this
Outcome
Contact with the criminal justice system (change in)
Chain of Events
Yes
Outcome
Education (change in)
Chain of Events
Yes - the benefit from gaining qualifications in terms of additional earnings will not be gained immediately, and it may take some young people longer than the period of the investment for qualifications to be achieved at Level 3
Outcome
Job satisfaction (change in)
Chain of Events
Possibly
Outcome
Job security (change in)
Chain of Events
Yes
Outcome
Life satisfaction (change in)
Chain of Events
Yes
Outcome
Life satisfaction (increased)
Outcome Description
Life satisfaction (increased)===Chain of Events=== Healthier Lives (Scottish Outcome Domain)
Outcome
Lifestyle to tackle obesity (change in)
Chain of Events
Possibly related to other life changes
Outcome
Literacy and numeracy skills (change in)
Chain of Events
Possibly
Outcome
Outcome
Meaning and feeling useful (change in)
Chain of Events
Yes
Outcome
Mental health (change in)
Chain of Events
Yes
Outcome
Mental health (general) (change in)
Chain of Events
Yes
Outcome
Mental state, including reduced anxiety and distress (improvement in)
Outcome
Motivation and Activity (improved)
Outcome Description
Motivation and Activity (improved)===Chain of Events=== Healthier Lives (Scottish Outcome Domain)
Outcome
Museums, galleries and libraries (increase use of)
Outcome Description
This outcome describes the increased use of museums, galleries and libraries.===Chain of Events=== Museum and art galleries positive chain of events:
•Engagement and enjoyment in the arts;
•Acquisition of new skills;
•Trying new experiences;
•Encouraging creativity;
•Increased self-confidence or changes in attitude;
•Higher order cognitive learning, particularly when individuals are already familiarwith the subject on display or with museum environments;
•Younger people making connections with existing knowledge, particularly when there is appropriate mediation to facilitate the learning process
Evidence from research into learning and library use indicates a positive impact on:
•Enjoyment and choice of leisure reading material;
•Reading development in young children;
•Academic achievement, particularly in terms of language skills;
•Acquisition of skills, particularly ICT and information literacy;
•Broader aspects of learning, such as increased motivation for learning, self-confidence, independence.
Evidence: The contribution of the arts and culture to the national economy
Outcome
National Identity (Scottish Outcome Domain)
Outcome Description
This is the outcome domain for Scotland.===Chain of Events=== Below are the outcomes associated with the Scottish Domain:
Internet and media (improved access)
Community groups (increase in participation)
Reach of campaigns (increase in)
Interaction with campaigns (increase in)
Sense of autonomy and control (improved)
Engagement of policy makers and opinion formers (increase of)
Influence of publications and research; More changes in policy (increase of)
Awareness of campaigns among decision makers
Outcome
Number of people living in poverty (change in)
Chain of Events
Yes, poverty contributes to lots of social problems and reduced mobility
Outcome
Outcome
Outcome
Overall personal functioning (change in)
Chain of Events
Yes
Outcome
Outcome
Paid employment
Outcome Description
Paid employment
Employment Opportunities (Scottish Outcome Domain)===Chain of Events=== Overall quality of life (improved/maintained)
Evidence: Kibble Works SROI Project, p. 17
Outcome
Participating in arts and cultural activities (increase in number of people)
Outcome Description
This outcome describes an increase in the number of people participating in arts and cultural activities.===Chain of Events=== Enhance productivity via well‐being improvement
http://www.artscouncil.org.uk/media/uploads/pdf/CEBR_economic_report_web_version_0513.pdf
Outcome
Participation (increased levels)
Outcome Description
Increased levels of participation===Chain of Events=== Healthier Lives (Scottish Outcome Domain)
Outcome
Perceptions of community and neighbourhood (improved)
Outcome Description
Perceptions of community and neighbourhood (improved)===Chain of Events=== Healthier Lives (Scottish Outcome Domain)
Outcome
Outcome
Personal finance knowledge (increase in)
Outcome Description
[Business (Scottish Outcome Domain)]===Chain of Events=== Managing money (change in)
Saving ability (improvement in)
Unmanageable to manageable debt (move from)
Reduced financial stress
Outcome
Personal well-being (autonomy) (change in)
Chain of Events
No
Outcome
Personal well-being (life satisfaction) (change in)
Chain of Events
Yes
Outcome
Personal well-being (optimism) (change in)
Chain of Events
Yes
Outcome
Outcome
Physical health (adults) (change in)
Chain of Events
Yes
Outcome
Physical health (change in)
Chain of Events
Yes
Outcome
Preservation of places of interest (change in)
Outcome Description
This outcome describes the change in the preservation of places of interest.===Chain of Events=== No
Outcome
Fuel poverty prevalence (change in)
Chain of Events
Possibly
Outcome
Prospects for advancement (satisfaction in)
Outcome Description
Satisfaction for prospects of advancement in the workplace===Chain of Events=== Employment Opportunities (Scottish Outcome Domain)
Outcome
Public Services (Scottish Outcome Domain)
Outcome Description
This is the outcome domain for Scotland. Below are the outcomes associated with the Scottish Domain:
Cost of reducing tobacco harm in Scotland
Costs incurred due to lost economic productivity associated with tobacco consumption in Scotland
Costs incurred due to tobacco consumption in Scotland
Freeing up of resources due to better people taking better care of council housing
Freeing up resources associated with accidents in the home amongst older people
Freeing up resources associated with landfill costs
up resources associated with obesity
Freeing up resources associated with older people having accidents in their living environments
Freeing up resources associated with the consequences of obesity
Outcome
Outcome
Outcome
Diet quality (change in)
Chain of Events
Possibly
Outcome
Outcome
Rates of voting (increase in)
Outcome Description
An increase in the amount of people voting===Chain of Events=== National Identity (Scottish Outcome Domain)
Outcome
Poverty reduction
Outcome Description
too general - would need to know which indicators are associated
Outcome
Relationships between landlords and tenants (improvement in)
Outcome Description
Independent Living (Scottish Outcome Domain)===Chain of Events=== Increased occupancy; decreased turnover; better tenants
Evidence: Social Return on Investment: Merging Policy Evaluation Techniques for a Broadervision of Success
Outcome
Outcome
Research and Innovation (Scottish Outcome Domain)
Outcome Description
This is the outcome domain for Scotland. Below are the outcomes associated with the Scottish Domain:
costs' of landfill (change in)
Access to forests & woodlands for recreation (change in)
Accessibility of forests and woodlands (change in)
Congestion-related stress (change in)
Freeing up resources associated with landfill costs
Level of traffic congestion (change in)
Levels of road congestion (change in)
The amount of preserved or restored forests and woodland (change in)
The amount of preserved or restored grass & rangeland (change in)
The amount of preserved or restored lakes and rivers (change in)
The amount of preserved or restored swamps & floodplains (change in)
Outcome
Outcome
Resilience/coping (change in)
Chain of Events
Yes
Outcome
Outcome
Fatalities- risk of (change in)
Chain of Events
N/A
Outcome
Outcome
Health satisfaction (change in)
Chain of Events
Yes
Outcome
Outcome
Seatbelts in road vehicles (increased use of)
Outcome Description
Increased use of seatbelts in road vehicles===Chain of Events=== Crime (Scottish Outcome Domain)
Outcome
Outcome
Self-esteem (change in)
Chain of Events
Yes
Outcome
Sense of community belonging (change in)
Chain of Events
Yes
Outcome
Outcome
Skills for finding work (improvement in)
Outcome Description
Employment Opportunities (Scottish Outcome Domain)===Chain of Events=== Paid employment
Evidence: Kibble Works SROI Project, p. 17
Outcome
Smoke alarms (increased prevalence)
Outcome Description
Increased prevalence of smoke alarms in the home===Chain of Events=== Crime (Scottish Outcome Domain)
Outcome
Outcome
Social networks and involvement (improved)
Outcome Description
Improvement of social networks===Chain of Events=== Healthier Lives (Scottish Outcome Domain)
Outcome
Sport or exercise (increase in the opportunity to participate in)
Outcome Description
This outcome describes the increase in the opportunity to participate in sports or exercise. This means that there are a greater number of initiatives available for communities to get involved in physical activity, whether through offering more classes at gyms or making recreational grounds and parks more sports and exercise friendly.
Outcome
Sports facilities in local area (improved perception in)
Outcome Description
This outcome describes the improved perception in sports facilities in the local area. The improved perception of sports facilities can be done by facilities being improved within the local area and through local marketing campaigns.
Outcome
Standard of personal hygeine (change in)
Chain of Events
N/A
Outcome
Status of endangered species (change in)
Outcome Description
This outcome describes the change in the status of endangered species. Climate change and global warming can change this status.
http://wwf.panda.org/about_our_earth/aboutcc/problems/impacts/species/===Chain of Events=== No
Outcome
Strength of personal relationships (change in)
Chain of Events
Yes
Outcome
Strength of social network (change in)
Outcome Description
Social Network relates to friends and colleagues and other non-family members as potential providers of emotional and practical support. Strength relates to size of network and depth of relationship between members.===Chain of Events=== Disabled people attend support sessions with people in similar situations -> Friendships develop -> Disabled people spend time with others outside support sessions -> Social Network is strengthened.
Outcome
Stress (change in)
Chain of Events
Yes
Outcome
Outcome
Sustainable Places (Scottish Outcome Domain)
Outcome Description
This is the outcome domain for Scotland. Below are the outcomes associated with the Scottish Domain:===Chain of Events=== Economic deprivation (reduction in)
Local growth in existing sectors (increase in)
Household financial stability (improvement)
Journey times to key local services (reduction in)
Road distance to key services (reduction in)
Access to key services within rural communities (improvement in)
Access to public transport (improvement in)
Access to public transport for disabled people (improvement in)
Improved access to public transport for older people
Public transport relative to other forms of transport (increased use)
Efficiency of local transport (improvement in)
Perceptions of local area (improvement in)
Local dealing/drug use in neighbourhoods (improvement in perception of)
Outcome
Terrorism (reduction in fear of)
Outcome Description
Reduction in the fear or terrorism===Chain of Events=== Crime (Scottish Outcome Domain)
Outcome
Commuting time (change in)
Chain of Events
Perhaps it might relate to traffic, transport, or planning changes
Outcome
Lorry journeys made (change in)
Chain of Events
Yes
Outcome
Unmanageable to manageable debt (move from)
Outcome Description
A move from unmanageable debt to manageable debt
Outcome
Violent crime (fear of)
Outcome Description
A reduction in the fear of violent crime
Outcome
Vitality (change in)
Chain of Events
Yes
Outcome
Well-being (change in) (outcome)
Outcome Description
too general
Outcome
Working within sports and culture (increase in number of people
Outcome Description
This outcome describes the increase in the number of people working within sports and culture. In Spring 1999, 647,000 people had their main job in the cultural sector,representing about 2.4% of total employment, in main jobs, in the UK.
Impact Evaluation of Museums, Archives and Libraries: Available Evidence Project
Outcome
Workplace bullying (reduced prevalence)
Outcome Description
Workplace bullying (reduced prevalence)===Chain of Events=== Crime (Scottish Outcome Domain)
Associate new/existing Outcome
Associate new/existing Outcome