2009 provider expo a celebration of working together to strengthen communities
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2009 Provider Expo
A Celebration of Working Together to Strengthen
Communities
Integrated System of Care Developer
• Care Management Care Management ProvisionProvision– Dawn Project, Indiana
1997– Cincinnati, Ohio 2002– Rockville, Maryland 2005– Baltimore City, Maryland
2006– Baltimore County,
Maryland 2007– St. Mary’s County,
Maryland 2007– Harford County, Maryland
2008– Washington, DC - fall 2008
• System of Care SupportSystem of Care Support– Youth Emergency Services
1998– Back to Home, 1999– Child Abuse Hotline 2004– Full Purpose Partnership
2004– Reception Center 2007
• Training and ConsultingTraining and Consulting– TA Center 2003– National Consulting -
ongoing
LEGEND
Eastern Region
AL
FL
SC
TN
KY
IN
OH
NC
PA
ME
VA
NY
CT
WV
MD NJ
VTNH
MA
DE
RI
- USA Eastern Region
MI
GA
300235
150
120
20
Indianapolis – Indiana (1997)
Cincinnati – Ohio (2002)
Rockville – Maryland (2005)
Baltimore City – Maryland (2006)
St. Mary’s – Maryland (2007)
Washington DC (2008)
Choices Care Management Choices Care Management
•Over 220 Employees
•$38 Million Annual Budget
•Over 1000 youth served in Child Family Teams daily
•Working across ALL child serving systems – 60% CW
CFT meetings every 30 days
Authorize all of the care
Access Provider Network
Families driving the Plan
60 minute meetings
Crisis Plan within 24 hours
PLAN
Case ManagerSchool
FamilyJuv Probation
Child WelfareMental Health/Substance Abuse
Care Coordinator
Individualized Care Plan
Single point of Communication
FAMILIES DON’T FAIL--PLANS DO
System of Care
Core Values:• Community Based• Child centered and Family focused• Culturally Competent
Guiding Principles:• Comprehensive – a broad array• Individualized – not a cookie cutter approach• Coordinated both at the system and service delivery
levels• Involve families and youth as full partners• Emphasize early identification and intervention
Care Coordination
Family Involvement
Cultural Competence Communit
y Based
Treatment
&
Supports
System of Care Process
A System of Care is…
• One Stop Shop for all human service systems
• NO WRONG DOOR for children and families across ALL systems
• A Place where I’d send my family
With the values and principles guiding the process
Parallel Processes across Child Serving Systems
• Child Welfare – state reforms include “child family teams”, family group conferencing
• Juvenile Justice – restorative justice uses a team approach,
• Mental Health – wraparound team process• Education – IEP – Individualized Educational
Plans – team based• Developmental Disabilities – person centered
planning team
National Trends
TEAMS
5 Dysfunctions of a TeamPatrick Lencioni tells us:• Not 5 distinct issues• Interrelated and interdependent• One link broken, the teamwork disintegrates
Teams that DIDN’T work
Characteristics of why they didn’t work
Teams that DIDN’T work
• 1 leader, no others• No trust amongst
them• Designated leader
doesn’t lead• No plan for follow
through• No understanding of
mission• No sense of humor
• No communication• Lack of empathy• No compromise• Lack of self-esteem• Lack of hard work• Not even participation• Unrealistic goals
Teams that DID work
• Consistency• Broad group with
common purpose• Time limited, short
concise• Share the load• Assistance, resources• Role clarity• Humor
• All work together• Compromise• Motivated• Single purpose• Follow through• Respect, sharing• Dedication• Equals, understand• Food
Stages of Team Development
Stage Theme Task Goal Goal
Forming Awareness Commitment: Acceptance: Resolving dependency
Storming Conflict Clarification Belonging: Resolving feelings
Norming Cooperation Involvement Support: Increasing team cohesion
Performing Productivity Achievement Pride: promoting interdependence
Adjourning Separation Celebration & closure
Satisfaction: encouraging comments
When looking at the stages
• Each stage is predictable and every team goes through each stage
• Each stage is manageable by the leader. It offers a plan for leadership
• Knowledge of the stages helps both the leader and members understand what is happening in the team and why
LEARN FROM THE PEOPLEPLAN WITH THE PEOPLE…
WHEN THE TASKIS ACCOMPLISHED
THE PEOPLE ALL REMARKWE HAVE DONE IT
OURSELVES- Lao-tzu
Team basketball clip
Collaboration vs. Clobberation
“CLOBBER”ation is…
clob·ber (klŏb'ər) clob·bered, clob·ber·ing, clob·bers Slang
• To strike violently and repeatedly; beat or maul.
• To defeat decisively
• To criticize harshly
• Final answer (my add-on)
Dictionary.com, 2009
Collaboration
Col*lab`o*ra"tion\, n. The act of working together; united labor.
col·lab·o·rate
1. To work together, especially in a joint intellectual effort.
2. To cooperate treasonably, as with an enemy occupation force in one's country.
Dictionary.com, 2009
Collaboration
Winer & Ray, 2000 from the Collaboration Handbook definition:
“Collaboration is a mutually beneficial and well-defined relationship entered into by two or more organizations to achieve results they are more likely to achieve together than alone.”
Factors that Make or Break Collaboration
• Ideology
• Leadership
• Power
• History
• Competition
• Resources
Winer & Ray, 2000
Foundation for Successful Collaboration
• Mutual agreements
• Common goals and missions
• Win-Win for all
• Mutual satisfaction
• Hard work and effort
Change Imposed is Change Opposed
When YOU choose to ChangeYou Gain!
Softball
Collaboration
The elements necessary for successful
collaborative efforts:
ColLABORation
Labor – hard work
CollabORATION
Labor – hard work
Oration – talking together
CoLLABoration
Labor – hard work
Oration – talking together
Ball – having fun, successes
ColLABoration
Labor – hard work
Oration – talking together
Ball – having fun, successes
Lab – new learning, experiment
ColLaboRATIon
Labor – hard work
Oration – talking together
Ball – having fun, successes
Lab – new learning, experiment
Trail – new ground together
ColLabORATIon
Labor – hard workOration – talking togetherBall – having fun, successesLab – new learning, experimentTrail – new ground togetherTailor - individualized, unique
COLLAborATIONLabor – hard workOration – talking togetherBall – having fun, successesTrail – new ground togetherLab – new learning, experimentTailor – individualized, uniqueAllocation – the funding will follow
“It has never been done this way before”
“You can’t do it that way”
“We don’t operate that way here”
STEPS ON THE LADDER OF CHANGE
PARTNERSHIP
Active Resistance
Passive Resistance
Tolerance
Compliance
Commitment
YOU THEM
PTP: AM I PART OF THE SOLUTION OR PART OF THE PROBLEM?
Building a Collaborative Community
• CooperationCooperation– Shorter term informal relations, sharing info – one
way; no risks (low intensity)
• CoordinationCoordination– More formal relationships and understanding of
missions – no money shared or pooled
• CollaborationCollaboration– Durable and pervasive relationship with full
commitment to a common mission; jointly share results and rewards – show me the $$ (high intensity)
Collaborative Features
• Public and Private Human Service agencies
• Community steering committees or consortiums
• Multiple public funders• Local community mental health and health
centers• School districts• Family support network involvement
Community Communication Method
• Consortium meets monthly• Payers/Referrers/Providers meet monthly• Agency Board & Clinical Workgroup meets monthly• Semi-annual focus groups with referring agencies• Supervisors meet bi-weekly with Manager• Supervisors facilitate weekly Peer review• Supervisors meet with CC’s 1:1 daily • Supervisors meet quarterly with Referring Supervisors• CC’s & Supervisors meet with Psych MD’s• Mandatory all staff training weekly• CC’s hold Service Team meetings < 30 days• Director available for consults daily
Community
Supervisors
Line Staff
FAMILY
Service Coord.
Service Team Reps.
Community Agencies
PTP: SHOULDN’T WE KNOW THE DX OF EVERYONE INVOLVED?PTP: SHOULDN’T WE KNOW THE STRENGTHS OF EVERYONE INVOLVED?
Culture of Care Values
Planning
Organizations(lead and partner agencies)
Hospitable System (Policy and Funding Context)
Effective, Collaborative
Supportive
PEOPLE ARE MUCH MORE LIKELY TO ACT THEIR
WAY INTO A NEW WAY OF THINKING THAN
TO THINK THEIR WAY INTO A NEW WAY OF ACTING
HBR – 5/2005
Cross System/Community Collaboration
• Shared Community Vision – “what is your community’s shared vision?”
• Educational opportunities
• Surveys – focus groups
• Job shadow cross system
• Meetings – sharing
• Share opportunities, consultants, etc.
Sustainability
• Value driven system in community– Emphasized strengths based– Family Driven– Community Teams – shared risks
• Collaboration from community & program partners– Delivering a cost effective & quality product– Helping our referral partners do their job better
• Training– Cross training – we provide strengths based training
and they provide system specific– Regular, ongoing and then situational/as needed
Teamwork
As your PARTNER, we promise to…
Put your needs first in every situation
Add value to your personal leadership
Recognize we serve a common goal
Tailor our services to meet your need
Never take for granted the trust placed in us
Embody excellence in everything we do
Respect everyone’s uniqueness
The Great Mullah
• 3 Brothers & 17 camels
• Oldest = 1/2• Next = 1/3• Youngest = 1/9
It doesn’t work – how do we do this?
• With 18 camels
• Oldest = 9• Next = 6• Youngest = 2• TOTAL = 17
And the Mullah walked away with his camel
Collaboration is when…
Everyone shares a little to receive a lot
www.ChoicesTeam.org
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