Katie A and Core Practice Model

Report
Katie A.: Effective Approaches to
Implementation Challenges
of the Core Practice Model
CMHACY Presentation
Agenda
• Engagement & Assessment
– Workshop
– Families
• Planning & Implementation
– Workshop
– Families
• Monitoring and Adapting
– Workshop
– Families
• Transition
– Workshop
– Families
Ice Breaker: Clock Activity
Make a Clock
Stand up and meet as many
different people as you can.
For each person, get an appointment
on the hour.
**Remember- you must be theirs at the same
time they are yours**
Check-In
Engagement & Assessment
Core Practice Model Overview
• “We’re doing that already.”
• How is the CPM different?
• Model
Engagement & Assessment
Core Practice Model Overview
• Implementing the CPM in our
Community-Based Outpatient Program
– Brief background
– Needs of youth/families we serve
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Engagement
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Hope and Motivation
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Natural Supports & Successful Outcomes
Engagement & Assessment
Four Phases
1. Engagement &
Assessment
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1. Intake &
Assessment
2. Planning &
Implementation
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2. Treatment Planning
3. Monitor &
Adapting
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3. Treatment
4. Transition
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4. Discharge Planning
Review of CPM
Phases and Activities
1. Engagement & Assessment
2. Services Planning & Implementation
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Intake meeting & engagement
Orient family to services
Stabilize crises/Safety Planning
Engage Community Partners
Strength Needs Cultural Discovery
Create Family Vision
Identify Priority Needs
Initial Child Family Team meeting
Interventions and strategies
Strengths Needs Cultural Discovery
Utilize Family Vision
Identify Natural Supports
Create the Treatment Plan
Create the Individualized Plan
3. Monitoring and Adapting
4.Transition
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Child Family Team meetings
Monitoring and Adapting
Functional Assessment & Crisis Plan
Prepare for Transition
Engage Natural Supports
Strength Needs Cultural Discovery
Update Individualized Plan
Transition Child Family Team Mtg
Transition to Natural Supports
Prepare family for success
Linkage
Create Relapse Prevention Plan
Utilize the FIT Transition Plan
Engagement & Assessment
CPM Meetings & Documents
Engagement
• Engagement is the KEY
– Youth & families
– Community Partners
• Challenges with Engagement
– Historical racism and historical trauma
• Common Principles
– Family-Centered
– Strength-Based
– Team-Based
– Needs-Based
Engagement & Assessment
Initial Meeting - Intake
• Orienting to services: Program explained clearly in a
way the family understands – including what to
expect
• Role Clarification & team-based approach
• Answer questions so the family feels comfortable
making an informed decision regarding services
• Gain commitments
• Confidentiality & Mandated Reporting
• Complete brief Functional Assessment & Crisis Plan
• Brief Assessment for Provisional Dx
Engagement
Planning
Transition
Implementation
Engagement & Assessment
Introducing Services
• Individual Therapy/Family Therapy
– EBPs
• Collateral Services
– Not if, but when
– Minimum should equal how often we see the
youth
• Psychiatric Services
• Child Family Team meetings (CFTs & ICC-CFTs)
• Intensive Home-Based Services
• Case Management Services
Engagement & Assessment
SNCD
• Strength, Needs, and Cultural Discovery
– What
– When
– Why
– How – Activity
Planning & Implementation
Vision
• Working within a team environment,
providing culturally relevant and traumainformed system of supports and services
that is responsive to the strengths and
underlying needs of families being served
jointly by child welfare and mental health.
Planning & Implementation
Family Vision
• What is the Family Vision? This will drive
your plan!
– How do you envision life being when things are
going well?
• Family Vision Example:
– Joey will be off of probation, graduated from
Middle School, and the family will be together.
• Commitments: Each Child and Family team
member makes an individual commitment to
helping the family achieve their vision
Planning & Implementation
Teaming
Planning & Implementation
CFT Priority
• All families will receive the following:
– Initial CFT
– At least 1 Implementation CFT
– Transition CFT
• Katie A. Sub-Class Requirements
– ICC-CFTs every 90 days minimum
– CPS SW invited
• Facilitator AND Therapist attends
– Family Partner Invited
Planning & Implementation
Initial CFT
• Purpose: Get all team members together, discuss 1-2 priority
needs, review the family vision and develop the Treatment
Plan and FIT Plan
• Challenges:
– Time: this can be a very long meeting
– Special needs of youth and family
– Siblings (small children)
• Solutions:
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Prepare board
Bring snacks
Bring coloring books/art supplies
Problem identified
Family Vision identified
Needs identified
Utilize SNCD to help prepare meeting
Facilitator & Therapist must attend
Family Partner invited
Other relevant team members invited (Child Welfare, etc.)
Planning & Implementation
What are Needs Statements?
Planning & Implementation
Writing a Priority Need
• Example:
– Problem: Excessive fighting, intimidation of others, and
destruction of property at school.
– Family Vision: The youth will be off probation and the
family will be celebrating youth’s 8th grade graduation
together. Everyone living together and able to spend time
together.
– CANS/Needs: Mother selects “legal”, youth selects “anger
control” They agree on both.
– Priority Need 1 (Anger Control): Youth will learn to
express her feelings in a safe manner.
– Priority Need 2 (Legal): Youth will be able to attend school
regularly and meet all requirements for school conduct.
Planning & Implementation
Individualized Plans
• Integrated Plans:
– Treatment Plans vs FIT Plans
Monitoring & Adapting
• Working within a team environment,
providing culturally relevant and traumainformed system of supports and services
that is responsive to the strengths and
underlying needs of families being served
jointly by child welfare and mental health.
Trauma is Real
The Impact is Real
• ReMoved
Simply removing a child out of immediate
danger does not in itself reverse or eliminate
the wa y that he or she has learned to be
fearful. The child’s memory retains thoughts
and memories that can elicit ongoing fear and
anxiety.
Trauma-Informed:
It Takes Commitment
• A trauma-informed youth and family service system is
one in which all parties involved recognize and
respond to the impact of traumatic stress on those
within the system – including youth, caregivers, and
service providers.
• Programs and agencies within such a system infuse
and sustain trauma awareness, knowledge, and skills
into their organizational cultures, practices, and
policies.
• They collaborate with all those involved, using the
best available science, to facilitate and support the
recovery and resiliency of the youth and family.
Monitoring & Adapting
CFTs
• Monitoring and Adapting…
• Follow-up on the plan developed at Initial CFT
– Still the Needs?
– Still the Vision?
– Gain commitment
• Differences will exist, but in general, CFT meetings
should be predictable and consistent in:
– Length
– Frequency
– General agenda format
Monitoring and Adapting
Evaluating Progress
• Problem: Excessive fighting, intimidation of others, and destruction
of property at school.
• Family Vision: The youth will be off probation and the family will be
celebrating youth’s 8th grade graduation together. Everyone living
together and able to spend time together.
• CANS/Needs: Mother selects “legal”, Youth selects “anger control”
– They agree on both.
• Priority Need 1 (Anger Control): Youth will learn to express her
feelings in a safe manner.
– Goal 1: Youth and caregiver will report that youth expressed her feelings
safely for 3 weeks in a row with no incidents of property destruction.
• Priority Need 2 (Legal): Youth will be able to attend school regularly
and meet all requirements for school conduct.
– Goal 2: Youth will meet all school conduct requirements for 2 consecutive
months.
Transition
• Transition CFT:
– Should schedule a minimum of 1 Transition CFT
to develop a Transition (Discharge) Plan
– First Transition CFT should be scheduled
preferably 2 months prior to estimated D/C date
Transition
• During Transition Phase:
– Update SNCD to reflect lessons learned and successes
made
– Provide linkage to needed services or resources
– Update Crisis Plan to utilize if needed after D/C
– Review skills learned and Relapse Prevention Plan
– Schedule a celebration that matches the youth/families
culture, values and traditions
– Provide youth/family a Resource Binder with info re:
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Skill worksheets
Completed work
Resources
Plans
Outcomes & Case Examples
• Ebony (Family and Executive Team)
• Stephanie (Supervisor)
• Tamieka (Direct-Care)
Review of CPM
Phases and Activities
1. Engagement (Assessment)
2. Planning (Treatment Planning)
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•
•
•
•
•
•
•
•
•
•
Intake meeting & engagement
Orient family to services
Stabilize crises/Safety Planning
Engage community partners
Strength Needs Cultural Discovery
Create Family Vision
Identify Priority Needs
Initial Child Family Team meeting
Interventions and strategies
Strengths Needs Cultural Discovery
Utilize Family Vision
Identify Natural Supports
Create the Treatment Plan
Create the Individualized Plan
3. Implementation (Treatment)
4.Transition (Discharge Planning)
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Child Family Team meetings
Monitoring and Adapting
Functional Assessment & Crisis Plan
Prepare for Transition
Engage Natural Supports
Strength Needs Cultural Discovery
Update Individualized Plan
Transition Child Family Team Mtg
Transition to Natural Supports
Prepare family for success
Linkage
Create Relapse Prevention Plan
Utilize the FIT Transition Plan
Questions?
THANK YOU!!!!
• For further information or training:
– Stephanie Kelly, LMFT
• [email protected]
• 916-417-4783
– Tamieka Paveglio
• [email protected]
• 916-869-3225
– Ebony Chambers
• [email protected]
• 916-240-5936

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