Transcript Shared Practice Framework - Los Angeles County Department of
Adopting and Implementing a
Shared Core Practice Framework
(DCFS, DMH, Probation)
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) Strength Needs Practice 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” 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 85%
46% 38% 31%
0%
Belvedere 36% 50% Santa Fe Springs
71% QSR ACCEPTABLE CHILD/FAMILY STATUS QSR ACCEPTABLE PRACTICE 100% 93% 86% 77%
43% 21% 70% 57% 46% 50%
92%
31% 31% Compton 21% 29% Vermont Corridor 14% 50% Wateridge 40% 30% Lancaster 50% 42% Palmdale Pomona 50% 42% 42%
92%
Strength Needs Practice
Fair Status Good and Optimal Status PRACTICE INDICATORS Engagement Voice and Choice Teamwork Assessment & Understanding Long-term View Planning Supports & Services Intervention Adequacy Tracking & Adjustment
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 -
coaching.
Providing opportunities to practice skills supported by
Feedback -
regarding areas of strength and areas needing additional attention.
Providing feedback on performance and guidance Adapted from Gagne’s Levels of Learning and The Child Welfare Group: “Adopting a Child Welfare Practice Framework” 5
“Raising the Blue Bar”
Strength Needs Practice
Skill Based Training
Individual, Joint, Team
Coaching/Mentoring
Individual, Joint, Team
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
Needs Practice
(Values/Principles)
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
Strength Needs Practice
Engaging Teaming Track & Adapt 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
: Interventions utilizing client strengths and preferences.
Tracking
: 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
Strength Needs Practice 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) 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”
Key Ingredients; Key Steps
Strength Needs Practice 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