Peace, Love…
and the CANS
Agenda
• Welcome
• 8 Stages of a Social Movement
• CANS as a Social Movement
• Stage 4 – Southwestern Pennsylvania
• Stage 1 - Fayette
• Stage 3 – Allegheny
• Stage 5 - Westmoreland
• Moving Forward – Tri-County Collaboration
• Questions and Answers
Stage 8
Consolidation
and Moving
On
Stage 7
Achieving
Alternatives
Stage 1
Business as
Usual
Stage 2
Failure of
Established
Channels
Social
Movement
Stage 6
Winning Over
the Majority
Stage 3
Ripening
Conditions
Stage 4
Take Off
Stage 5
Perception of
Failure
Source:: Doing Democracy:
The MAP Model for Organizing Social Movements by Bill Moyer 2001
The CANS…
…as a Social Movement
Social movements do not move in a
linear way… movements have
many demands for policy changes
and their efforts for each demand
are in a specific stage.
Adapted from Bill Moyers’ “History as a Weapon”
CANS
Stage 4
Take Off
TAKE OFF
• Trigger event
• Dramatic campaigns
• Actions show that conditions and
policies violate widely held values
• Problem put on agenda
• New social movement rapidly takes off
Stage 1
Business
as Usual
Social
Movement
Business as Usual
• Get and keep people thinking about the
problem AND the solution
• Support through small groups
• Spread the word
• Begin winning people over
Fayette County
… 10+ years ago CYS, JPO, & MH had a Vision
Population: 143, 925
Urban, Rural and Farm
Residences
Six School Districts
Vision: “To Improve the Collaboration Between
Families and the Children’s Service System”
• One common tool or assessment that all
families and children’s service providers
could use, and understand
• Family & providers can all communicate and
identify areas of needs, concerns, and
strengths together
• Families don’t have to share their stories over
and over again
• Minimize duplication of services
Where to Start?
• CYS, JPO, Behavioral Health (BH) Agreement
• Researched and found data systems, used
ICSP funds (KIDnet & CISS) 2008
• Piloted High Fidelity Wraparound 2008
• Trained CYS, JPO, & BH Staff on CANS &
KIDnet
• Trained Family Service Providers (FSP) on
CANS
2010 Implementation
• Visited individual Family Service Providers &
demo KIDnet
• Piloted with Adelphoi Village (Champion)
KIDnet Implementation
• Trained FSP on KIDnet
• Follow-up Webinars to discuss data & KIDnet
barriers and problems ~ user stumbling
blocks…ongoing
• Training to be a CANS Trainer & Coach ~
sustainability plan
• Sustain CANS by training CANS Trainers within
the provider system
RIGHTEOUS LESSON
Communicate,
Communicate, and
go back and send
out a reminder…
Remember things
will still not always
go as planned, so
learn to problem
solve and work with
what you have,
BE POSITIVE, Respectful of Time, & PURPOSEFUL
Social
Movement
Stage 3
Ripening
Conditions
Ripening Conditions
• Recognition of problem grows
• Uninterested become interested
• Increased awareness and visibility
• More active local groups
• Need pre-existing institutions and networks
available to new movement
• Constant outreach
Allegheny County, Pennsylvania
Population: 1.3 million
130 municipalities
91 neighborhoods in the
city of Pittsburgh
Serving - 194,972 residents
DHS Budget – $987.3 million
Funding sources – 183 each with separate
laws, regulations and reporting requirements
DHS Service Providers – 395
with 473 contracts for 1,600
services by providers
Increased Visibility
…What a Long Strange Trip It’s Been
• July 2010 – All Behavioral Health Providers
Trained and Certified
• Fall 2010 – CANS Information System Launched
HELP… I need somebody… HELP… not just
anybody… HELP…
I need Information System Tech Support!!!
The Communication Plan
• Touch Point Calls
• Site Visits
• System Testing/Provider Involvement
• Communication Meetings at all Levels
– Service Coordination Unit Directors
– Technical Advisory Committee
– Ongoing Technical Assistance for Staff in the
Field (Building Relationship)
• Email Blasts
CANS Champions
• TRAIN THE TRAINER KICK-OFF AND THE
IMPORTANCE OF BREAKING BREAD
• QUARTERLY MEETINGS
– CANS AND THE SERVICE PLAN
– TOOL CHANGES
– BROCHURES/LOGO
• ONGOING COMMUNICATION BETWEEN
MEETINGS
RIGHTEOUS LESSON
A LITTLE HELP FROM MY FRIENDS
Social
Movement
Stage 5
Perception
of Failure
Perceptions of Failure
Two steps forward …one step back
• SEE GOALS UNACHIEVED
• SEE POWERHOLDERS UNCHANGED
• SEE MOVEMENT AS STALLED
• PART OF THE MOVEMENT PROCESS
• ROLL OUT STRATEGIC, ACHIEVABLE
OBJECTIVES
• CELEBRATE AS OBJECTIVES ARE ACHIEVED
“I have not failed 700 times. I have not
failed once. I have succeeded in proving
that those 700 ways will not work. When I
have eliminated the ways that will not
work, I will find the way that will work.”
~ Thomas Edison
Westmoreland, Pennsylvania
2009 population of 362,251
• 4.8% < 5 years of age
• 19.8% < 18 years of age
Child Serving Systems not under
a human services consortium
Base Service Unit acts as the
“gatekeeper”
Westmoreland County
… In the Beginning
• 2007 – Integrated Children’s Service’s Plan
• Medical Assistance Realignment activities
• Multiple assessment tools being used
• Need for a common assessment identified
Introducing the CANS to Westmoreland County
• ICSP Funding
• Development of CANS Comprehensive
– Dr. John Lyons
– Key Stakeholders
• Informational Sessions
• Train the Trainer Session
• CANS Roll Out
• Additional CANS Certification Training
Training Challenges
… Houston, we have a problem
• Post-Training Expectations Unclear
• Administrative Support Lacking
• Resistance
• Underestimation of time and effort required
in training staff
Implementation Challenges
• Lack of trained and certified staff
• CANS viewed as a “mental health”
assessment tool
• Failure to recognize the value of the CANS
on multiple levels
• CANS viewed as a form
• Lack of ongoing administration support
Righteous Lessons
• System change is Difficult
• What’s in it for me?
• Agency
Mandates/Requirements
• Agency/System
Administration support is
essential
• Too Many Cooks in the
Kitchen
• Smaller is Better
• Long Range Plan
• Reclaim CANS through
Training Assistance
Righteous Lessons
•
•
•
•
Data Management System
Collaboration
Revamping CANS
Practice, practice,
practice
• CANS as a
Transformational Tool
Come together…
TRI-COUNTY COLLABORATIVE
Tri-County Collaboration
• Shared Resources
• Problem Solving/Brainstorming
• Potential for Use of One CANS Across
Counties
Challenges a Provider Faces
• Every county has different expectations
of providers
• Different forms, assessments, and other
paperwork
• Unfunded mandates
• Top down decision making that have
unintended consequences
How the Tri-County CANS Initiative
Impacts our Agency
• All three counties working collaboratively
and seeking our input helps us to be
successful.
• Getting a chance to shape public policy from
grassroots level.
• Agency feels ownership in process, making it
more likely for CANS implementation to be
successful.
• Outcomes that will shape future practice.
Questions?
Contact Information:
Kellie Gavran
Fayette County Behavioral Health Administration
kelliegavran@fcbha.org
Shauna Lucadamo
Allegheny County Department of Human Services
slucadamo@alleghenycounty.us
Robin Orlando
Allegheny County Department of Human Services
rorlando@alleghenycounty.us
Renee Raviart-Dadey
Westmoreland County Behavioral Health and Developmental
Services
dadeyr@Westmoreland.swsix.com
Lorin Zimmerman
Adelphoi Village
lorin.zimmerman@adelphoivillage.org