Protect vulnerable children and youth Professionals want to do what - - PDF document

3/19/2015 1 Collaboration, Communication and Data Informed Decision-Making

Martha J. Henry, PhD., President MJ Henry & Associates, Inc. Practice-Based Education and Consultation

Fostering Systemic Quality Improvements

• Complex social issues require collaborative problem

solving among multiple stakeholders.

• We need useful data to inform the policy, practice,

decision-making, and resource allocation at every level of the system.

• That data should be beneficial for communication

and collaboration among stakeholders, including families.

• To make the best investments, the data must be

based on the needs and resources of the people we serve.

OVERVIEW

• KEY ASSUMPTIONS

Professionals want to do what is best for children, youth, and families. Collaborative relationships can create a shared vision to maintain focus on the children and families we serve. Leadership and organizational culture are key to successful reform and practice implementations.

• Effective communication is critical at all levels of the system.

Transformation is possible and essential.

• Protect vulnerable children and youth

from abuse and neglect.

• Strengthen the Commonwealth’s ‘at-risk’

families.

• Provide targeted case management for

children, youth and families in need.

• Identify most effectives programs and

services for best investments.

WORK OF CHILD WELFARE

• Multiple layers of stakeholders, often with competing

agendas and resources

• Difficult to clearly define – rooted in other complex

issues, e.g., poverty, mental health, substance abuse, domestic violence

• Interdependent and multi-causal
• No clear or ‘one size fits all’ solution
• Require complex problem solving
• Beyond the capacity of one individual or

division to solve problem

CHILD WELFARE: SOCIALLY COMPLEX ISSUES

A SYSTEM driven by needs and strengths of children, youth and families served requires

• A holistic approach
• Child, Youth and Family-Centered
• Collaboration across service agencies and

providers

• Consistent communication
• Quality Improvement focus

CONSIDERATIONS FOR REFORM

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• Having a common metric to understand the

needs and strengths of our families.

• Using that information to inform policy, practice

and improvements activities.

– Collaborate with stakeholders – Diversion practice – High-risk screening – Service planning and monitoring

• What works and for whom?

– Family resource and skill development needs – Professional development needs

DATA-INFORMED DECISION MAKING

• A framework based on the assumption that

communication can create a shared meaning and can be an instrument for consensus building and planning.

• Communimetrics framework is action-oriented

and focused on both the planning process and

• utcomes (Lyons, 2009).
• A family of evidence-based functional assessment

tools:

– CANS* – Individual Youth – FAST – Family – ANSA – Adult

COMMUNIMETRICS

*versions in current use in Massachusetts state contracted mental health services

A required focus of a shared vision of the children and families receiving services For effective services within complex systems the following are a MUST:

1. Collaboration of multiple partners often with different mandates, agendas, priorities, and perspectives 2. Communication facilitation among all partners, including youth and families 3. Shared commitment to serving children and families despite differences 4. Collective accountability to the child and family

TRANSFORMING LIVES AND SYSTEMS

A collaborative relationship between stakeholders to develop a shared understanding of identified problems and its sources, assets, a shared goal and a set of actions to achieve that goal.

SHARED VISION

• Transformational: It is embedded in all activities with families

as full partners with a focus on positive transformations of their health, well-being, and functioning.

• Collaborative: Stakeholders are invested in making quality

improvements and have consistent data to communicate about the people served across multiple levels of the system.

• Outcomes: The measures are relevant to decisions about

approach or proposed impact of interventions.

• Management: Information is used to collaboratively improve

the quality of the various levels of the system.

TRANSFORMATIONAL COLLABORATIVE OUTCOMES MANAGEMENT

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• Identification of at-risk children, youth and

families.

• Collaboration and communication across

multiple agencies.

• Data-informed decision-making

– Decision Support – Outcomes Monitoring – Quality Improvement

• Expansion of best practices and

elimination of ineffective practices.

TCOM APPROACH LEADS TO

Collaborating for Success

Data-informed Decision Making

Multi-Level Implementation of Success Discovery and Practice Transfer Optimal Treatment Identification and Implementation

Decision Support Outcome Monitoring Quality Improvement Family and Youth

Collaborative Assessment and Treatment Planning

Treatment (Strengths and Needs) Review and Transition Planning Strengths-Based Supervision and Resourcing Program System Matching Resources to Needs and Strengths Knowledge Consolidation and Transfer Program-Level Clinical Formulation and Intervention Practice Benchmarking and Collaborative Improvement

Learning, Empowering System Youth & Families Determine Resources Needed

Information Integration for Critical Activities

Decision-Support Progress Monitoring Quality Improvements

Communication & Collaboration

Family & Individual Functional Needs Family & Individual Resources

MAKE

AKE IT IT HARD HARD FOR FOR PEOPLE PEOPLE TO TO DO DO THE THE WRONG WRONG THING THING AND AND EASY EASY FOR FOR PEOPLE PEOPLE TO TO DO DO THE THE RIGHT RIGHT THING THING.

.

CONTACT

Email: martha.henryphd@comcast.net Phone: (508) 641-1647 Website: www.mjhenryandassociates.com

MJ Henry & ASSOCIATES, INC.

Martha J. Henry, PhD., President