OACCA Residential Transformation Conference Alliance for Strong Families and Communities OACCA Residential Transformation Conference Tom Woll Strategic Change Initiative

The Seven Steps of Transformation It starts when we get scared because things are changing very rapidly. Then we decide we have to transform our organization in order to stay viable. Then we accept that we will have to find ways to transform what we do. Then we develop a clear sense for the changes we’ll need to make to stay viable. Then we commit to making those changes within our organization. Then we design a transformation plan that allows us to make the needed changes. Then we work to find ways to implement our transformation plan.

40 Trends Report 2017 Draft Version The Field is Trending Towards….. Everyone expecting less money from local, state and federal governments. The public sector saying they want to buy results instead of buying services. Most funders preferring to buy evidence-based or evidence promising services. Emphasis on producing durable results that can be sustained over time. Decisions to develop systems of care over more traditional service delivery.

40 Trends Report – Continued 2017 Draft Version Movement from child-centered toward family-driven, youth guided perspectives. Re-emergence of a focus on Maslow’s hierarchy of needs for all family work. Engagement being seen as the means and family stability being seen as the end. Permanency for all children and success with a stable family being the goal. Promoting “safe, secure, calm and well” as the expected results of our efforts.

40 Trends Report – Continued 2017 Draft Version Focusing on assuring that all families have a strong natural support network. Focusing on making solid family connections to existing community resources. Focusing on helping working poor parents to find better paying jobs. Emphasis on using wraparound designs to help meet family needs. Efforts to redesign all existing services to ensure more durable results.

40 Trends Report – Continued 2017 Draft Version Movement away from “one size fits all” and towards more individualization. Increased efforts to teach “normal developmental processes” to all staff. The use of “guidance” for staff behaviors to promote trauma-informed care. Efforts to address the impact of trauma in all aspects of child and family work. Emphasis on reduction of seclusion/restraint and points and level systems.

40 Trends Report – Continued 2017 Draft Version Development of “family engagement plans” for all families being served. Continued efforts to reduce the use of long-term out of home care. Using out of home care for brief stabilization as a family support service. Safe children, stable families, strong communities and reduced poverty. Emphasis on change leadership as the methods to adapt organizations.

40 Trends Report – Continued 2017 Draft Version Developing cross-functional teams to help to manage the constant change. Significant efforts to begin to integrate physical and behavioral health. Calling for collaborative relationships with primary healthcare providers. Using strategic data analysis to inform change-ready decision making. Continued movement toward more risk-sharing and managed care.

40 Trends Report – Continued 2017 Draft Version Emphasis on developing effective training and support for line staff. Emphasis on finding ways to adjust organizational identity and culture. Community-based family supports preferred over campus-based supports. Emphasis on providing coordinated aftercare supports to ensure durability. Greater coordination with educational and substance use disorder partners.

40 Trends Report – Continued 2017 Draft Version The public sector role moving away from direct service delivery. The public sector focusing more on defining community priorities. The public sector focusing more on developing and enforcing contracts. The public sector looking for solution-finding partners for systems of care. Flexible, responsive, capable and collaborative are key trend capacities.

Ask yourself: “Which of these trends will present your greatest challenge?”

Core Components of the 21st Century Child Welfare System

10 Transformational Agenda Items Change our organizational identity Adapt our organizational culture Review the role of campus facilities Adopt change leadership methods Rethink staff training and support Reconsider all treatment approaches Promote service integration Address child and family trauma Engage families and promote stability Work with and in communities

Stages of “Resistance” to Change They “can’t” until they understand it: use thought progression exercises They “won’t” until they have new skills: use individual “guidance plans” The “don’t” until they form new habits: train “shift leads” for awake shifts

Thought Progression Exercises An important tool to consider to help us to achieve cultural adaptation

Consider “Guidance” It helps us to integrate trauma-informed principles into our daily practice

rEvolutionary Change Leadership Practice Manual & Assessment Tool

“An organization’s ability to learn, and translate that learning into action rapidly, is the ultimate competitive advantage.” - - Jack Welch