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CBCAP Pre-Bid Conference Ken Bopp Bill Holcomb Jamie Myers January 22, 2010 CBCAP Prevention Perspective • Missouri families and children at risk of child abuse and neglect often suffer from intertwined economic, social, educational, behavioral health, and physical health problems. • While many of Missouri’s communities have a wide-range of services to reduce families’ risk factors and enhance families’ protective factors and resilience; these services are siloed by categorical funding and functional organizational and professional specialties boundaries. CBCAP Prevention Perspective • What is lacking in many Missouri communities is a framework of relationships to bridge across the organizations and professionals and collaboration processes and mechanisms for the organizations and professionals to work together in a concerted effort to prevent child abuse and neglect. • To overcome this systems challenge, CTF has pursued a powerful CBCAP network strategy that leverages community-based learning and capabilities through building network relationships. CBCAP Network Strategy • Learning leverage seeks to build relationships with other entities that help each organization/ professionals to better understand and value the relationships and interactions that enable the essential connective links and supports that are necessary to help at-risk families reduce risk factors, build protective factors, and resilience. • Capability leverage is the ability to access and mobilize the resources of other community-based organizations to add more value for CBCAP families. CBCAP Infrastructure • In the CBCAP network’s value is created by linking community-based organizations and professionals who wish to work interdependently to prevent CA/N. • The organization-base is not the network, but provides a networking service. • The organizational-base must focus on network promotion and memorandum of agreement management, service provisioning to network members, and infrastructure operations. • The value creation logic of a CBCAP network is linking a broad array of community-based providers and providing them a collaborative framework to enable them to help families avoid child maltreatment. The main interactivity logic is mediating the development of social capital (relationships) and collaboration. Central Features of the Missouri CBCAP Collaborative Model • A provider network is comprised of community-based organizations/professionals that have voluntarily agreed to work together through the CBCAP collaborative to prevent child abuse and neglect in their community. • Lead agency model refers to an arrangement in which one organization, a member of the CBCAP provider network volunteers to assume the responsibility of coordinating the services of all network providers rendering services to a specific family as well as direct service delivery responsibility. • An integral part of the CBCAP lead agent coordination model has been the nesting of family support teams into the collaboration process. The family support team innovation centers on the engagement of families in the co-creation and implementation of their personalized course of action or care plan. CBCAP Self-directed, Family Support Teams Families at Risk LA LA Juvenile Justice Health Sponsoring Entity & Fiscal Agent Behavior Health CBCAP Collaborative Family Support Income Security Housing & Transportation Education LA CBCAP OPERATIONAL CAPABILITIES INDIVIDUAL DELIVERY Intake Process Assessment Development Individual Delivery Plan Referral (Assign Work) Coordinate (Track Client Condition & Service Delivery) Outcome Measurement DELIVERY FAMILIES Protocol Development Information Infrastructure Network Relationships ORGANIZATION INFRASTRUCTURE Orchestrator’s focus • Focus on building the CBCAP governance and network capability and capacity to ensure families’ needs are met • Provide the initial impetus of CBCAP shared Vision & Mission to be co-shaped with the CBCAP board & provider network • Lead network members in a process of co-creating network values and culture • Co-develop guiding operational principles (simple rules and processes of how the provider network will coordinate and collaborate via the Lead Agent/Family Support Team model to deliver coordinated services to families) • Encourage network provider members to bring evidence-based programs and practices to CBCAP families Orchestrator’s Additional Roles and Duties of the CBCAP Orchestrator • Administer the allocation of payer-of-last resort/flex pool project funds • Facilitate training opportunities for provider network • Collect and compile assessment data gathered from project families and deliver data to CTF project evaluators • During coordination of regularly scheduled provider network meetings, facilitate introductions of new families, request verbal reports from lead agencies, and lead discussions about identified gaps in available community resources • Promote project to community referral sources • Report project progress and challenges to governance council during scheduled meetings • Continue to nurture provider network through appreciation of current members and recruitment of new members Central Features of the Missouri CBCAP Collaborative Model • Valid and reliable assessment tools to measure family outcomes - Child Abuse Potential Inventory (CAPI) and Parenting Stress Index (PSI) to assess child abuse potential and parenting function and as well as the Family Satisfaction Questionnaires (FSQ’s) to measure family satisfaction. • Continuous quality improvement via CBCAP commitment to learning about and using evidence-based and promising CA/N interventions Model for Reducing Child Abuse Potential Improved Family Resources .192 .225 -.469 -.258 Coordination of Services .584 Child Abuse Potential -.126 Family Service Satisfaction All of the above correlations are statistically significant at the .01 level (2-tailed test) n=516 Best Practices/ Lessons Learned in the First Generation Community-Based Child Abuse Prevention Program • Leadership • Inter-entity planning • Outcome and process metrics to guide decisions within the system • Family involvement and family-centric service delivery • Lead Agency Model • Provider network development and management is required at two levels • Time limits on coordinated service efficacy • Flex-pool • Leveraging community-based resources Best Practices/Lessons Learned in Second Generation CBCAP Era • Leadership – No network will be successful without an active effective Orchestrator • Social Capital* – Bonding1, Bridging2, & Linking3 • Family Support Team4 • Parent Support Groups5 • Evidence-Based and Promising CA/N prevention programs and practices6 Questions & Comments?