SETTING THE VISION:
EXPLORING OUTCOME MEASURES FOR THE
IMPLEMENTATION OF THE PATHWAYS TO MENTAL
HEALTH CORE PRACTICE MODEL
DAWN SCHOONHOVEN SCOTT, M.S.W.
MARY GARRISON, M.S.S.W.
MAY 30, 2014
SOUTHERN
LEARNING COLLABORATIVE
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Imperial
Los Angeles
Orange
Riverside
San Bernardino
San Diego
Ventura
SOUTHERN LC: WHAT IT’S ALL ABOUT
• 3 meetings thus far
• Topics covered:
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Planning and preparation
Teaming and Child and Family Teams
Screening
Outcome Measures and Indicators of Success
• PCWTA develops:
• Agenda for each meeting
• PowerPoint template for reports/sharing
• Research and literature review
OUTCOME MEASURES &
SETTING THE VISION
TOOLS TO CONSIDER
• Tools measuring family-centered meetings:
• Arizona Child and Family Teams Supervision Tool
• Almanac County Family Centered Meeting Survey
• Illinois Statewide Technical Assistance Center Wraparound
Integrity Tool
• Wraparound Fidelity Assessment System – Team Observation
Measure
• Tools measuring collaboration across systems:
• Collaborative Working Survey
• Multi-agency Team Tool Kit
• Tools measuring youth voice:
• The Youth Participation in Planning scale (YPP)
• The Youth Empowerment Scale—Mental Health
(YES/MH)
THEMES IN SELECTED TOOLS
• Tools measuring family-centered meetings:
• Explanation of purpose of meeting
• Clarity regarding roles of each person in the meeting and
action plans
• Feeling heard/listened to
• Participated in setting up ground rules/rules are followed
• Timing/pace of meeting is reasonable
• Strengths-focused
• Included natural supports
• Concerns are clear
• Plans focus on concerns and strengths
• Facilitator is prepared/knowledgeable/upholds rules
THEMES IN SELECTED TOOLS
• Tools measuring collaboration across systems
• Demonstrated willingness to learn from one
another/respect expertise of other team members
• Direct, honest and respectful communication
• Willingness to compromise in order to meet goals
• Shared vision and mission
• Members share resources/information/knowledge
• Accountability to complete action steps
• Commitment to collaboration and the overarching
goals
• Members are recognized and appreciated for
contributions
• Conveys respect
• Clear roles
THEMES IN SELECTED TOOLS
• Tools measuring youth voice:
• Youth are have a pre meeting with someone they trust to
help them think through how they want to express
themselves and what they want to say
• Plans reflect their choices and top goals
• Decisions are not held to once they are made with the
youth
• Language that is understandable is used during meetings
• I have ideas about how to address my mental health and
emotional needs and these ideas are incorporated in my
treatment plans
• I understand how my services are supposed to be helping
me and when they are not helping, I know who to talk to
SUCCESSES & DRIVERS
• Outcome Measures Matrix from the State offers some
direction
• County workgroups are discussing this topic in their
implementation teams
• Counties are aligning this discussion with existing goals
• Regional Learning Collaborative Sessions offer a time
to share/explore this topic
• PCWTA has provided materials/research
• Some counties have selected tools provided at the
recent learning session to pilot during implementation
BARRIERS
• Counties report that they are anticipating clear
direction from the State on outcome measures
• It is challenging to evaluate and link child/youth
outcomes to a particular change in practice
• Some counties report that building a shared vision
across Child Welfare and Mental Health is difficult to
operationalize and this is inhibiting the process of
identifying consistent outcome measures
CLOSING
• Questions?
• Closing