M AY 3 0 , 2 0 1 4

SETTING THE VISION: EXPLORING OUTCOME MEASURES FOR THE

IMPLEMENTATION OF THE PATHWAYS TO MENTAL HEALTH CORE PRACTICE MODEL

DAWN SCHOONHOVEN SCOTT, M.S.W.MARY GARRISON, M.S.S.W.

SOUTHERN LEARNING COLLABORATIVE

• Imperial• Los Angeles• Orange• Riverside • San Bernardino• San Diego• Ventura

SOUTHERN LC: WHAT IT’S ALL ABOUT

• 3 meetings thus far• Topics covered:• Planning and preparation• Teaming and Child and Family Teams• Screening• Outcome Measures and Indicators of Success

• PCWTA develops:• Agenda for each meeting• PowerPoint template for reports/sharing• Research and literature review

OUTCOME MEASURES & SETTING THE VISION

TOOLS TO CONSIDER

• Tools measuring family-centered meetings:• Arizona Child and Family Teams Supervision Tool• Almanac County Family Centered Meeting Survey • Illinois Statewide Technical Assistance Center Wraparound Integrity

Tool• Wraparound Fidelity Assessment System – Team Observation

Measure

• Tools measuring collaboration across systems:• Collaborative Working Survey• Multi-agency Team Tool Kit

• Tools measuring youth voice:• The Youth Participation in Planning scale (YPP)

• The Youth Empowerment Scale—Mental Health (YES/MH)

THEMES IN SELECTED TOOLS

• Tools measuring family-centered meetings:• Explanation of purpose of meeting• Clarity regarding roles of each person in the meeting and

action plans• Feeling heard/listened to• Participated in setting up ground rules/rules are followed• Timing/pace of meeting is reasonable• Strengths-focused • Included natural supports• Concerns are clear • Plans focus on concerns and strengths • Facilitator is prepared/knowledgeable/upholds rules

• Tools measuring collaboration across systems • Demonstrated willingness to learn from one

another/respect expertise of other team members• Direct, honest and respectful communication• Willingness to compromise in order to meet goals• Shared vision and mission• Members share resources/information/knowledge• Accountability to complete action steps• Commitment to collaboration and the overarching

goals• Members are recognized and appreciated for

contributions• Conveys respect• Clear roles

THEMES IN SELECTED TOOLS

THEMES IN SELECTED TOOLS

• Tools measuring youth voice:• Youth are have a pre meeting with someone they trust to

help them think through how they want to express themselves and what they want to say

• Plans reflect their choices and top goals• Decisions are not held to once they are made with the

youth• Language that is understandable is used during meetings• I have ideas about how to address my mental health and

emotional needs and these ideas are incorporated in my treatment plans

• I understand how my services are supposed to be helping me and when they are not helping, I know who to talk to

SUCCESSES & DRIVERS

• Outcome Measures Matrix from the State offers some direction• County workgroups are discussing this topic in their

implementation teams• Counties are aligning this discussion with existing

goals• Regional Learning Collaborative Sessions offer a

time to share/explore this topic• PCWTA has provided materials/research• Some counties have selected tools provided at the

recent learning session to pilot during implementation

BARRIERS

• Counties report that they are anticipating clear direction from the State on outcome measures• It is challenging to evaluate and link child/youth

outcomes to a particular change in practice• Some counties report that building a shared

vision across Child Welfare and Mental Health is difficult to operationalize and this is inhibiting the process of identifying consistent outcome measures

CLOSING

• Questions?

• Closing