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Adopting and Implementing a

Shared Core Practice Framework

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)

(DCFS, DMH, Probation)

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A Practice Framework: What is it and why is it important?

PurposePurpose:: 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?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?”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?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”

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Why is the concept of “Shared” Practice Critical?

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!Our Goals = Integration, Responsiveness and Results!

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.

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Los Angeles County Data: Los Angeles County Data: “Raising the Blue Bar”“Raising the Blue Bar”

STATUS INDICATORSSTATUS INDICATORS Safety Safety Stability Patterns Stability Patterns Permanency Prospects Permanency Prospects Living Arrangement Living Arrangement Health/Physical Well-beingHealth/Physical Well-being Emotional Well-BeingEmotional Well-Being Learning & Development Learning & Development

Family Functioning & ResourcefulnessFamily Functioning & Resourcefulness Caregiver Functioning Caregiver Functioning Family ConnectionsFamily Connections

PRACTICE INDICATORSPRACTICE INDICATORS Engagement Engagement Voice and ChoiceVoice and Choice TeamworkTeamwork Assessment & UnderstandingAssessment & Understanding Long-term View Long-term View PlanningPlanning Supports & ServicesSupports & Services Intervention Adequacy Intervention Adequacy Tracking & AdjustmentTracking & Adjustment

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Belvedere Santa Fe Springs Compton Vermont Corridor

Wateridge Lancaster Palmdale Pomona

38%50%

31% 29%

50%

30%42% 42%

46% 21%

46%57%

43%70% 50% 50%

31% 36% 31%21%

14%

40%50%

42%

QSR ACCEPTABLE CHILD/FAMILY STATUS QSR ACCEPTABLE PRACTICE

Fair Status Good and Optimal Status Acceptable Practice

85%

71%

86%

77%

93%

100%92% 92%

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“Raising the Blue Bar” (Improving Practice)

How do staff and partners learn new skills? 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”

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“Raising the Blue Bar”

Quality Services Review (QSR) Quality Services Review (QSR) – measures key practice areas and status indicators.

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

Coaching/MentoringIndividual, Joint, Team

Skill Based TrainingIndividual, Joint, Team

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The Shared Practice Model: Overview (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

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Organizing the Practice:

(Shared) PRACTICE FRAMEWORK

Teaming

Assessment

Planning& Intervention

Track &Adapt

Engaging

StrengthNeeds

Practice

Basic knowledge, values, principles, legal mandates

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Mobilizing STRENGTHS, addressing NEEDS with these skills

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.

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Example: Teaming A Key Practice Strategy

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.

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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

TeamworkEngagementAssessment and PlanningLong Term View (Permanency)

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THE BEGINNING OF MEANINGFUL PRACTICE CHANGE IN THE POMONA VALLEY

TrainingTraining

DMH – Service Area 3 Providers DCFS – Pomona Staff

Developing Coaching CapacityDeveloping Coaching Capacity

The QSR DriverThe 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.

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“Raising the Blue Bar”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