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Relationship Based Collaboration Mary Claire Heffron, Ph.D Margaret Rossoff, M.F.T Early Childhood Mental Health Program Department of Developmental and.

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Presentation on theme: "Relationship Based Collaboration Mary Claire Heffron, Ph.D Margaret Rossoff, M.F.T Early Childhood Mental Health Program Department of Developmental and."— Presentation transcript:

1 Relationship Based Collaboration Mary Claire Heffron, Ph.D Margaret Rossoff, M.F.T Early Childhood Mental Health Program Department of Developmental and Behavioral Pediatrics Children’s Hospital and Research Center, Oakland

2 MANY PROGRAMS, MANY DISCIPLINES zPre school and child care educators zWIC zSocial workers and case managers (at CPS, teen parenting programs, TANF, etc.) zPediatricians and nurses zFirst responders (police, fire)

3 MANY PROGRAMS, MANY DISCIPLINES, continued zStaff at shelters for homeless families, victims of domestic violence, parents in recovery from substance abuse zEarly interventionists—PT’s, OT’s, speech pathologists, developmental specialists zMental health specialists

4 MULTIDISCIPLINARY FOCUS IN INTERVENTION requires collaboration among multiple systems

5 GOAL OF COLLABORATION: zIncreased wellness and improved mental health in community

6 WHY COLLABORATE? BENEFITS TO FAMILIES zMany families can benefit from services of multiple agencies and providers zCoordination of services avoids gaps and overlaps for families zCoordination of services makes life easier for families with many challenges zCollaboration between providers can be a model for the family

7 WHY COLLABORATE? BENEFITS TO PROGRAMS AND PROVIDERS zTeamwork fosters creative new ideas zCollaboration brings in perspectives from different yCultures yProfessional disciplines yPast experience zCollaborative projects are favored by funders, including foundations and government programs zCollaboration can mean more efficient use of scarce resources (staff and funding) zTeamwork reduces burnout

8 PITFALLS OF NON- COLLABORATION zWasted dollars zLess effective services zLost opportunities to increase staff abilities zSilo mentality vs. relationship mentality zLone Ranger vs. team approach

9 COLLABORATIVE PROCESSES among systems and agencies zSystems and agencies can work together to develop plans and address concerns chosen together zRequires communication and some level of trust zRequires time spent together zProcess can build greater trust

10 POWER OF RELATIONSHIPS AMONG AGENCIES zWho do you go to? zHow do they make you feel? zWhat do they do?


12 RELATIONSHIP-BASED PRINCIPLES APPLY TO COLLABORATION: zReflect on your experience zListen empathically—try to understand before reacting zRespect role boundaries zCommunicate directly about difficulties zValue different perspectives zGet support for your own feelings

13 USE OF SELF INCLUDES zSelf awareness (of individual and program) zObservation (beware of assumptions and judgments) zReflection about the impact of collaboration yOn family and child yOn participating agencies yOn agency staff yOn community

14 HOW YOU SEE THEM, HOW THEY SEE YOU zTry on the perspective of the other agency and its staff zAddress and explore conflicts, different points of view zExpect differences and try to welcome them as opportunities for learning

15 ALL GOALS AND INTERVENTIONS STRENGTH-BASED Contacts among collaborators support the competence of the family and of each other

16 BUILDING COLLABORATION zTake time to get to know each other yWhat each program does ySkills and perspectives of staff yMandates and funding constraints of each program yAgency “culture” zBuild trust through shared activities, exchange of information and working together to develop shared purpose

17 CREATING SYSTEMS OF COLLABORATION zComing together for joint purposes zCreating common vision zIdentifying strengths of participants zIdentifying problems and building solutions zTaking credit together, appreciating each other’s contributions

18 IN COLLABORATION zStart small if thinking big is too overwhelming zFocus on what will help both agencies and what will serve clients better

19 POSSIBLE LEVELS OF COLLABORATION zCommunication among staff within an agency or department zCommunication between individual providers at different agencies yProviders working with the same family sharing information and strategies (with family’s permission) zConsultations between staff at different agencies exchanging insights from different disciplines (can be about hypothetical vignettes or actual families with releases)

20 LEVELS OF COLLABORATION, continued zPilot project with a small number of families zAgreement between agencies, spelled out in MOU (Memorandum of Understanding) zIntegrated project, perhaps with external funding zSystem of care in a geographical area

21 WHAT ABOUT CONFIDENTIALITY? zExplain the benefits of the collaboration to family members zHIPAA requires written releases and specifies what to include zDevelop a form for family members to sign that authorizes exchanges of information between collaborating programs (see examples of collaborative releases)

22 INVOLVE FAMILIES IN COLLABORATION zInclude family members in meetings whenever possible zShare results of discussions with family members if they are not present

23 BARRIERS TO COLLABORATION zTerritoriality and competition zTight discipline boundaries zBelief in self or agency as center of the universe zFear of self evaluation and change zLimited time and money zConstraints of funding sources zLack of understanding of culture of other agency

24 TYPICAL STAFF FEARS ABOUT COLLABORATION INCLUDE zI already don’t have enough time—how can I add to my job? zMy job will change to something I can’t do or don’t like doing z“They” will undermine my work zClients will pit us against one another z“They” will take over my job, “they” are better than I am

25 OVERVIEW: RELATIONSHIP- BASED COLLABORATION zKnow your own program, including the limits of your power and influence zUnderstand each other’s skills and contributions zFind common ground—shared goals zRecognize differences as assets to working together zAppreciate the synergy of working together

26 FOR SUCCESSFUL OUTCOMES zListen as much as you talk zBe willing to allow new solutions and outcomes to emerge-don’t be too attached to one perspective zImagine the point of view of others zFocus on joint outcomes, not just what you need zThink about needs of the family or the community of families with young children

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