Presentation on theme: "Implementing Evidenced-based Practices September 17, 2014 Beth Ann Rosica, PH.D Francis Mendez, J.D., MSW."— Presentation transcript:
Implementing Evidenced-based Practices September 17, 2014 Beth Ann Rosica, PH.D Francis Mendez, J.D., MSW
About Us NTTAC ( www.nttac.org) is a central source for accessing the Office of Juvenile Justice and Delinquency Prevention’s (OJJDP) Training and Technical Assistance (TTA) resources; serves as a one-stop shop for requesting the full array of TTA services offered by OJJDP; and supports the OJJDP TTA Network through trainings and leveraging of virtual TTA.www.nttac.org VisionQuest ( www.vq.com) has over 40 years of experience delivering highly successful innovative programs to at-risk and juvenile youth. Over the last 10 years, VisionQuest has made a commitment to evidence-based practices, and all programs utilize at least evidence-based model.www.vq.com Advancing Evidence Based Practice ( www.advancingebp.org) is a nonprofit association working to promote evidence- based programs for at-risk youth. www.advancingebp.org
How to Identify EBPs? Blueprints for Healthy Youth Development WSIPP Coalition for Evidence Based Policy CrimeSolutions.gov/Model Programs Guide
Best Proven Model Programs* Brief Alcohol Screening and Intervention for College Students (BASICS) Functional Family Therapy (FFT) LifeSkills Training (LST) Multidimensional Treatment Foster Care (MTFC) Multisystemic Therapy - Problem Sexual Behavior (MST-PSB) Multisystemic Therapy ® (MST ® ) New Beginnings (Intervention for children of divorce) Nurse-Family Partnership Positive Action Project Towards No Drug Abuse Promoting Alternative Thinking Strategies (PATHS) * Blueprints Model Programs
Advantages of Proven EBPs Reduced crime Reduced cost to taxpayers Save lives Training, Manuals, QA
EBP Implementation: Getting Customer Buy-In Convincing stakeholders of the value and benefits of implementing EBPs- Moving from WHY to HOW. Leveraging existing resources as a strategy to introduce EBPs. Navigating concerns that EBP implementation comes at the expense of local grass roots programs. Overcoming obstacles when there is a disconnect between the state and local jurisdictions.
EBP Implementation: Facing Agency Challenges The Adoption of EBPs is challenge for providers, especially large agencies Requires commitment from the highest levels of management and a philosophical change within the agency Many staff are often threatened as they see their approach as the best Human Services professionals are often reluctant to trust research The process requires education, re-education and continual reassurances to staff that EBPs are the right thing to do Implementing EBPs costs more money than traditional services/programs Family Engagement can be a challenge
Components that need to be present to successfully implement evidence-based practices and programs: Competency Drivers (Staff selection, Pre-service and in-service training, Ongoing consultation and coaching & Staff and program evaluation) Organization Drivers (Facilitative administrative support, Systems interventions & Decision Support Data System) Leadership Drivers (Technical & Adaptive) Source: National Implementation Research Network EBP Implementation: Key Drivers
EBP Implementation: Embedding EBPs in a Juvenile Justice Agency Launch EBPs as a collaborative effort with ownership by the Agency. Establish a data collection framework. Integrate EBP referrals into objective decision- making. Jointly address referral and engagement issues. Establish formal communication protocols at the case level and system level.
Family lives out of service area Youth is a sex offender Youth is too aggressive Youth refused treatment Incomplete referral packet Youth not age appropriate AWOL Youth has unmanageable psychiatric Issues Other Referral or funding source rescinded Already received EBP services Youth placed out of home/detained Parents unwilling/unavaila ble No slots available Referral & Engagement Issues: Data Collection
Data Collection Example Youth has unmanageable medical issues English is not the primary language Family lives out of service area No slots available Referral or funding source rescinded AWOL Other Already received MST services Incomplete referral packet Youth not age appropriate Youth has unmanageable psychiatric issues Youth placed out of home/detained Parent unwilling/unavailable 36% 12% 9% 10% 7% 5% 3% 2% 1% 0% 10%20%30% Percentage of MST Referrals 40% n=182 Source: FY11 MD State Annual Reports for MST & FFT Family lives out of service area Youth is a sex offender Youth is too aggressive Youth refused treatment Incomplete referral packet Youth not age appropriate AWOL Youth has unmanageable psychiatric Issues Other Referral or funding source rescinded Already received FFT services Youth placed out of home/detained Parents unwilling/unavailable 44% 11% 8% 9% 5% 6% 3% 4% 1% 2% 0%10%20%30%40%50% n=406 Percentage of FFT Referrals
Analyzing Family Engagement Barriers Context conducive to engagement The rationale, benefits, and structure of program have been explained to the family; Family strengths have been identified and acknowledged; The therapist and the referral organization have taken a collaborative approach towards engaging the family; The family has contributed to the development of the treatment goals; and Engagement services are provided at a time that is convenient for the family. Source: Engaging Multiproblem Families in Treatment: Lessons Learned Throughout the Development of Multisystemic Therapy PHILLIPPE B. CUNNINGHAM., SCOTT W. HENGGELER. July 2004
Family Engagement Strategies Examples of engagement strategies that can be applied to the FFT and MST referral process are: Building a relationship prior to first call/appointment; Leveraging existing supportive relations; Using strategic and strengths-based marketing; and Identifying, addressing and removing participation barriers. SOURCE: PRINCIPLES FOR ENGAGING AND RETAINING FAMILIES IN SERVICES
Train and select probation staff for EBP referrals Communication Feedback Loop b/w program and probation Case management process that is aligned with EBP program Tracking outcomes and quality improvement Joint responsibility for identifying and problem solving issues Coordinated and collaborative process Tracking of referral outcomes and analysis Systems interventions that integrate family engagement Goals Systems intervention to address identified barriers EBP Implementation: Inter-operability Framework
EBP Implementation: Funding & Sustainability Once you have committed to doing EBPs, there is as much work in sticking to the model as making the decision to do it. High level of discipline to maintain fidelity. Most programs offer supervision/support calls, but the agency needs an infrastructure to support it too. Staff turnover presents problems - takes awhile to get staff trained, decreases revenue, decreases customer satisfaction. Successful EBPS requires a high level of collaboration between the provider, funder and placing agency. EBPs are typically more expensive at the front end but save dollars on the back end.
EBP Implementation: State Review Delaware Pennsylvania Maryland North Carolina Louisiana California Connecticut Texas
Contact Info New and improved site coming soon Beth Ann Rosica, PH.D Francis Mendez, J.D., MSW email@example.com firstname.lastname@example.org@email@example.com 610-486-2280,ext. 3250 1-703-225-2391