Adopting and Implementing a Shared Core Practice Framework (DCFS, DMH, Probation) Strength Needs Practice A Briefing/Discussion Objectives: Provide a brief overview and context for: Practice Models and Frameworks in General (Discussion) Provide an overview of our ‘Shared’ Practice Model (DMH, DCFS, Probation) Outcomes, Values/Principles, The Practice Wheel (Discussion) Provide a view from the “trenches” Making It Real; Making it Work Strengths and Challenges in Implementation (Discussion) 1 A Practice Framework: What is it and why is it important? Strength Needs Practice Purpose: To integrate mission, vision, goals and principles in ways that strengthen shared practice and support/improve supervision, training and coaching. What do we mean by Practice? The values, principles, relationships, approaches and techniques in service delivery that help children, youth and families achieve safety, stability, permanency, well-being and self sufficiency. What do we mean by a “Framework?” a structure that holds together ideas, principles, agreements or rules and that provides the basis for implementing and improving practice across time. Why is it important? In other large systems, “Practice Frameworks” have provided a solid foundation for reform, have contributed heavily to improved outcomes (and ultimately exit from court oversight) and have helped sustain quality work. Adapted from The Child Welfare Group: “Adopting a Child Welfare Practice Framework” 2 Why is the concept of “Shared” Practice Critical? Strength Needs Practice The fact that children, youth and families have needs that are shared across systems requires us to respond and intervene in ways that reflect well coordinated practice, shared responsibility and accountability. The Shared Practice Framework describes: What matters most to children, families, and communities: safety, stability, permanency, well-being, self sufficiency– key outcomes Key (CORE) practices most associated with success: engagement, teamwork, assessment/understanding, long-term view for safe case closure, planning strategies for safety, permanency, well-being and self sufficiency. The QSR helps answer: Are we helping? How can we improve? Our Goals = Integration, Responsiveness and Results! 3 Los Angeles County Data: “Raising the Blue Bar” Strength Needs Practice QSR ACCEPTABLE CHILD/FAMILY STATUS QSR ACCEPTABLE PRACTICE 100% 100% 92% 93% 90% 85% 80% 92% 86% 77% 71% 43% 70% 50% 70% 21% 46% 60% 57% 46% 50% 50% 40% 30% 50% 38% 20% 31% 36% 50% 50% 40% 31% 31% 21% 10% 42% 42% 42% 30% 29% 14% 0% Belvedere Santa Fe Springs Compton Fair Status Vermont Corridor Wateridge Good and Optimal Status PRACTICE INDICATORS Engagement Voice and Choice Teamwork Assessment & Understanding Long-term View Planning Supports & Services Intervention Adequacy Tracking & Adjustment Lancaster Palmdale Pomona Acceptable Practice STATUS INDICATORS Safety Stability Patterns Permanency Prospects Living Arrangement Health/Physical Well-being Emotional Well-Being Learning & Development Family Functioning & Resourcefulness Caregiver Functioning Family Connections 4 “Raising the Blue Bar” (Improving Practice) Strength Needs Practice How do staff and partners learn new skills? Information - Providing content regarding practice, policy, legal issues and the basis for our interventions. Modeling - Providing a demonstration of the skills staff are expected to acquire. Practice - Providing opportunities to practice skills supported by coaching. Feedback - Providing feedback on performance and guidance regarding areas of strength and areas needing additional attention. Adapted from Gagne’s Levels of Learning and The Child Welfare Group: “Adopting a Child Welfare Practice Framework” 5 “Raising the Blue Bar” Skill Based Training Coaching/Mentoring Individual, Joint, Team Individual, Joint, Team Strength Needs Practice Shared Practice Framework Key practices based on shared values that help us identify and address child and family strengths and needs (safety, permanence, well-being, self sufficiency) - Engagement Teaming Assessing Planning and Intervention Tracking, Adapting and Transitioning Quality Services Review (QSR) – measures key practice areas and status indicators. 6 The Shared Practice Model: Overview (Values/Principles) Strength Needs Practice Child Protection & Safety Permanent, Lifelong, Loving, Families Strengthening Child & Family Well-Being and Self Sufficiency Child Focused Family Centered Practice Community-Based Partnerships Cultural Competency Best Practice and Continuous Learning 7 Organizing the Practice: (Shared) PRACTICE FRAMEWORK Engaging Track & Adapt Strength Needs Practice Teaming Strength Needs Practice Assessment Planning& Intervention Basic knowledge, values, principles, legal mandates 8 Mobilizing STRENGTHS, addressing NEEDS with these skills Strength Needs Practice Engaging: Building rapport and effective relationships. Teaming: Effectively collaborating with others, coordinating and guiding teams. Assessing: Gathering important information; Identifying safety and underlying needs. Planning/Intervening: Tracking: Interventions utilizing client strengths and preferences. Evaluating results and adapting results to improve practice. 9 Example: Teaming A Key Practice Strategy Strength Needs Practice Characteristics for Optimal Teamwork: Child and Family Team (CFT) The right people are involved (this includes the family’s own natural supports and resources). CFT has the leadership, commitment, skills, resources and capacity to define the strengths and needs of the child and family. The team works consistently, collectively and collaboratively and attends to the family’s cultural, background, norms and practices. All team members are involved in assessing, planning, intervening and evaluating results. The family is fully involved and engaged. 10 The View from the Field (Strengths and Challenges) THE BEGINNING OF MEANINGFUL PRACTICE CHANGE IN THE POMONA VALLEY Our QSR Practice Performance Baseline Overall Practice Performance – 83% of cases in the Refinement Zone Practice Improvement Focus Areas Teamwork Engagement Assessment and Planning Long Term View (Permanency) Strength Needs Practice 11 THE BEGINNING OF MEANINGFUL PRACTICE CHANGE IN THE POMONA VALLEY Strength Needs Practice Training DMH – Service Area 3 Providers DCFS – Pomona Staff Developing Coaching Capacity The QSR Driver we’ve learned we’re sharing concepts and findings with partners we’re weaving optimal practice concepts and findings into our coaching program. 12 “Raising the Blue Bar” Strength Needs Practice Key Ingredients; Key Steps Aligned Leadership and Messaging to Staff, Partners, and Providers Protecting/Affirming Time and Resources to Learn and Apply New Skills Data Driven Decision Making: Linking Practice to Outcome Data Providing Tools/Means to Assess Progress: Coaching, Supervision, Facilitation, Intervention Aligning Performance Evaluation Systems Enhancing Quality Improvement and Monitoring Others Discussion 13