Presentation on theme: "Communities of Practice in Child and Youth Mental Health"— Presentation transcript:
1 Communities of Practice in Child and Youth Mental Health
2 Today’s Presentation What are communities of practice? (CoPs) What makes them work?What makes them last?How do we know they work?How do they affect you?Have taken place informally for a long time:Parents at a playgroupKnitting circles
3 The Context Child and youth mental health is under-resourced Complex issues require a diverse set of skills and perspectivesChild and youth mental health is everyone’s responsibilityImportance of practice-based evidence + evidence-based practiceLimited resources in child and youth mental healthRecognition of broad scope and complex nature of many of the problems faced by children, youth, and familiesAttempts to increase community capacity in responding to problems facing children, youth, and familiesImportance of “practice-based evidence” as a complement to evidence-based practice
4 Partnerships – Stages of Development Stage ONE – The AttractionStage TWO – The First DateStage THREE – The CourtshipStage FOUR – Will We or Won’t We?Stage FIVE – The Ceremony (Complete with Pre-Nuptial)Stage SIX – The HoneymoonStage SEVEN – Day-to-Day LivingStage EIGHT – The Seven-Year ItchStage NINE – The Mature RelationshipStage TEN – Opportunities for Growth** risk for separation and divorce is ever-present put preventable
5 Characteristics of Partnerships Cooperation:“Informal relationships that exist without any commonly defined mission, structure, or planning effort” (Wilder Research Center)Collaboration:“A mutually beneficial and well-defined relationship entered into by 2 or more organizations to achieve common goals” (Wilder Research Center)Cooperation—the relationship involves:Information sharing as neededLow risk, since authority is retained by each organizationSeparate resources and rewardsCollaboration--the relationship includes:A commitment to mutual relationships and goalsA jointly developed structure and shared responsibilityMutual authority and accountability for successSharing of resources and rewardsPARTNERSHIPS TYPICALLY CENTRE ON A SHARED TASK/GOALS—ONCE THOSE HAVE BEEN ACHIEVED, THE PARTNERSHIP MAY NOT BE ONGOING—LINK TO CoP…
6 CoPs: A Definition“Communities of practice are groups of people who share a concern or a passion for something they do and learn how to do it better as they interact regularly” (Etienne Wenger)The term community of practice was coined to refer to the community that acts as a living curriculum for the apprentice. Once the concept was articulated, we started to see these communities everywhere, even when no formal apprenticeship system existed. And of course, learning in a community of practice is not limited to novices. The practice of a community is dynamic and involves learning on the part of everyone.
7 What is a CoP? Deliberate Emphasizes ongoing, collective learning Focuses on interaction, growth and evolution of members (both individually and as a group)No formal beginning or endA site for creating practice-based evidence (a complement to EvBP)Activity: A CoP or not?
8 CoP: Basic IdeasLearning is social and comes from participating in daily lifeKnowledge and activity are strongly connectedGrowth is nurtured and promoted
9 Growth and evolution of members Sharing information and experiences CoPs emphasize:Problem solvingGrowth and evolution of membersSharing information and experiencesReusing and recycling resourcesEvaluating information and developmentsIdentifying gaps in knowledgeEmphasis is on KNOWLEDGE, rather than TASKSGoals + Relationships
10 Individual Reflection List the different groups you are/have been a part of.Would you consider these to be a CoP?Why or why not?
11 Examples of CoPs Triple P (Positive Parenting Program) National Community of Practice on Collaborative School Behavioural HealthCAFASTriple PDescription to be inserted.National Community of Practice on Collaborative School Behavioral HealthFocus of this CoP is to collaboratively work across diverse stakeholders to create a shared agenda across education, mental health and families. This community operates through 10 practice groups. 12 states, 23 national organizations and 6 technical assistance centers working together in this community. (web community hosted by the IDEAPartnership, an American organization that works to advance policy and practice in the area of education and child/youth mental health).
12 Elements of a CoP Subject (Domain) People (Community) A shared area of interest that provides a common focusShared competence in this areaPeople (Community)A group of people who interact in an ongoing wayEmphasis on relationships as the route to collective learningAction (Practice)Practitioners who develop a set of shared resources (experiences, stories, tools for solving problems)Emphasis on sustained interaction over timeExample: a group of social workers in a large agency who meet for lunch once a week—even it if isn’t a formal “meeting”, conversations about different experiences at work create an opportunity to share resources, stories, and problem-solving techniques.These three things need to be present in order for a CoP to exist, and it is through these things that a CoP evolves and is strengthened.
13 How does a CoP develop? Form Storm Norm Transform ELABORATE FROM GAIJDATransform
14 In partners… Select one of the groups identified in the last exercise. Using the elements discussed, can this group be considered a CoP?What stage of development is your group currently in?
15 Barriers and facilitators What barriers might prevent a CoP from being developed and/or sustained?What facilitators might help a CoP to develop and be sustained?
16 How do we create and sustain a CoP? Identify the area of interestInvite different perspectivesInvite different levels of participationArticulate a common vision.Ensure both familiarity and excitementWork towards evaluationLook for ways to sustain and enhance the CoP identityEXAMPLE HERE.
17 How do we know they work? Impact Measures Process Measures What have we changed?How?Process MeasuresWhat has worked well?Where can we improve?Impact measures:These are outcomes (specific to each group, based on the shared vision and goals). These can focus on:Real people (e.g., behaviour changes that take place among individuals, groups, families, and in communities)Policy developmentSystems development (e.g., integration of services or systems—justice/addictions/mental health)Resource developmentProcess measures:These focus on the “how to” aspect of collaboration and can focus on (what are processes involved in producing the outcomes we see)Understanding the community (strengths, weaknesses, points for change)Community developmentLeadership (not just power, but drawing on appropriate roles to effect change)CommunicationResearch and development (measuring outcomes and processes, strategies for communicating outcomes)
18 What makes CoPs last? Purpose Environment Process and Structure CommunicationEnvironment:History of collaboration within the communityCollaborative group and associated agencies have credibility and legitimacyFavorable political/social climate in which the mission of the group is supportedMembership:Mutual respect, understanding and trustCross-sectoral representationPersonal qualities (e.g., ability to compromise)Process and structure:Ownership over process and outcomesFlexibility and adaptabilityClear roles and guidelinesCommunication:Open, frequent communicationBoth formal and informal ways of communicatingPurpose:Unique purposeClear goals that are attainableShared visionResources:Sufficient, sustainable fundingStrong, skilled leadershipMembershipResources
19 Thinking about the future… In the Eastern region, what CoPs should be created to support you in the work you do in child and youth mental health?What should your first step be in developing this CoP?Think through the lens of a CoP to identify a “wish list” for priorities that would address your needs as a practitioner (what priorities would be brought to life through a community of practice)?Dotmocracy exercise