suncoast region transformation implementation team november 2, 2012
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SunCoast Region Transformation Implementation Team November 2, 2012. Vision. To implement the Florida Safety Decision Making Methodology successfully and with sustainable fidelity throughout the system of care in the SunCoast Region. What are we trying to solve?. - PowerPoint PPT PresentationTRANSCRIPT
SunCoast Region
Transformation Implementation Team
November 2, 2012
Vision
• To implement the Florida Safety Decision Making Methodology successfully and with sustainable fidelity throughout the system of care in the SunCoast Region
What are we trying to solve?
• Compliance based practice model
• Non-integrated system of work
• 37% Child Protection Investigator (CPI) turnover
• 55% Re-investigations
• Lack of data integration and access to other sources
• Inefficient tools and processes
• Technology driving practice
3
‘As- Is’ CPI Time Allocation
4
Current State Decision Tree
Risk
Low RiskModerate
RiskHigh Risk
No Services
PreventionDiversion“Family
Support”
In-HomeNon-
Judicial
In-HomeJudicial
Out of Home
Placement
• Subjective Decision Making• No Definitions for
Risk Levels• Lack of Decision
Supports• Maltreatment Driven
Decisions
Current State Process Overlaps
6
Statutory Criteria for CA/N, Response Priority, Searching/Linking, Background
Screening
Searching/Linking, Background Screening, Safety Assessment, Assess Service Needs, Refer for Services
Family Assessment, Case Plan, Refer for Services, Case Evaluation
Process Overlap
Process Overlap
Florida Safety Decision Making Methodology
7
SafetyManagement
Safe Unsafe
No Services
PreventionDiversion“Family
Support”
In-HomeNon-
Judicial
In-HomeJudicial
Out of Home
Placement
In Home Safety Plan
Out of Home Safety Plan
• Consistent Decision Making• Efficient Decision Supports• Decisions Based on Present
and Impending Danger• Teaming Model
• Consistent Decision Making• Efficient Decision Supports• Decisions Based on Present
and Impending Danger• Teaming Model
SafeHome
SafetyDecision
Protective Actions
Future State Minimize Process Overlap
Statutory Criteria for CA/N, Response Priority,
Searching/Linking, Background Screening
Information Collection, Safety Determination, Family Functioning
Assessment
Protective Capacity Assessment, Case Plan, Refer for Services, Case Evaluation
In order to really know if a child is safe or unsafe, we need to In order to really know if a child is safe or unsafe, we need to understand how the family functions. To do that, we have to understand how the family functions. To do that, we have to understand what is happening in the six domains listed below:understand what is happening in the six domains listed below:
In order to really know if a child is safe or unsafe, we need to In order to really know if a child is safe or unsafe, we need to understand how the family functions. To do that, we have to understand how the family functions. To do that, we have to understand what is happening in the six domains listed below:understand what is happening in the six domains listed below:
Nature
of
maltreatme
nt?
Circumstan
ces of maltreatme
nt?
Child’s day to dayfunctioning
?
General
Parenting
Views?Adult
Functionin
g?
Disciplinary
Practices?
Safety Decision Making
Threats of Danger(Out of Control, Immediate, Observable, Severe Consequences)
+/-
Vulnerable Child(Lacks ability to self protect)
+/-
Parent Protective Capacities(Vigilance, preparation and power to protect)
=
Safe or Unsafe
Statewide Implementation Team
• Policy and Practice
• Data and Performance
• Communication
• Training and Coaching
• Field Readiness
• Ongoing Services
Proposed Statewide Roll-Out Plan
Phase I:• Region - Northwest• Duration - Two months
A single Region will implement first and the team would evaluate issues that surface and resolve as appropriate prior to the start of Phase II.
• Phase II:• Regions - Southeast and Southern• Duration - One Month
• Phase III:• Regions - Central, SunCoast and Northeast• Duration - One Month
Stages of ImplementationCore Activities
Adapted from Implementation Research: A Synthesis of the Literature (2008) The National Implementation Research Network
Stages of ImplementationCore Activities (cont’)
Adapted from Implementation Research: A Synthesis of the Literature (2008) The National Implementation Research Network
Evaluating Readiness
Training Staffing TechnologyBusinessProcess
CommunityIntegration
Sustainability
Factors to Consider
Have staff Been trained
Train-the-trainer
SupervisoryTraining
PerformanceExpectations
Updated
RecruitmentSelection
Hiring
Workforce stability
Caseload management
Tools availableIn FSFN
Equipment Replacement
IT Accessibility
Budget Allocation
Working Agreements
Contract Stability
Resources andService Array
QA Plan
Communication
Identified Stakeholders
Crisis Management
Plan
EvaluationProcesses
Media Relations
Ongoing TrainingStaff Retention
