1. Peace, Love… and the CANS

2. Agenda Welcome 8 Stages of a Social Movement CANS as a Social Movement Stage 4 – Southwestern Pennsylvania Stage 1 - Fayette Stage 3 – Allegheny Stage 5 - Westmoreland Moving Forward – Tri-County Collaboration Questions and Answers

3. Social Movement Stage 1 Business as Usual Stage 2 Failure of Established Channels Stage 3 Ripening Conditions Stage 4 Take Off Stage 5 Perception of Failure Stage 6 Winning Over the Majority Stage 7 Achieving Alternatives Stage 8 Consolidation and Moving On Source:: Doing Democracy: The MAP Model for Organizing Social Movements by Bill Moyer 2001

4. The CANS… …as a Social Movement

5. Social movements do not move in a linear way… movements have many demands for policy changes and their efforts for each demand are in a specific stage. Adapted from Bill Moyers History as a Weapon

6. CANS Stage 4 Take Off

7. TAKE OFF Trigger event Dramatic campaigns Actions show that conditions and policies violate widely held values Problem put on agenda New social movement rapidly takes off

9. Social Movement Stage 1 Business as Usual

10. Business as Usual Get and keep people thinking about the problem AND the solution Support through small groups Spread the word Begin winning people over

11. Fayette County … 10+ years ago CYS, JPO, & MH had a Vision Population: 143, 925 Urban, Rural and Farm Residences Six School Districts

12. Vision: To Improve the Collaboration Between Families and the Childrens Service System One common tool or assessment that all families and childrens service providers could use, and understand Family & providers can all communicate and identify areas of needs, concerns, and strengths together Families dont have to share their stories over and over again Minimize duplication of services

13. Where to Start? CYS, JPO, Behavioral Health (BH) Agreement Researched and found data systems, used ICSP funds (KIDnet & CISS) 2008 Piloted High Fidelity Wraparound 2008 Trained CYS, JPO, & BH Staff on CANS & KIDnet Trained Family Service Providers (FSP) on CANS

14. 2010 Implementation Visited individual Family Service Providers & demo KIDnet Piloted with Adelphoi Village (Champion) KIDnet Implementation Trained FSP on KIDnet Follow-up Webinars to discuss data & KIDnet barriers and problems ~ user stumbling blocks…ongoing Training to be a CANS Trainer & Coach ~ sustainability plan Sustain CANS by training CANS Trainers within the provider system

15. RIGHTEOUS LESSON Communicate, Communicate, and go back and send out a reminder… Remember things will still not always go as planned, so learn to problem solve and work with what you have, BE POSITIVE, Respectful of Time, & PURPOSEFUL

16. Social Movement Stage 3 Ripening Conditions

17. Ripening Conditions Recognition of problem grows Uninterested become interested Increased awareness and visibility More active local groups Need pre-existing institutions and networks available to new movement Constant outreach

18. Allegheny County, Pennsylvania Population: 1.3 million 130 municipalities 91 neighborhoods in the city of Pittsburgh Serving - 194,972 residents DHS Budget – $987.3 million Funding sources – 183 each with separate laws, regulations and reporting requirements DHS Service Providers – 395 with 473 contracts for 1,600 services by providers

19. Increased Visibility …What a Long Strange Trip Its Been July 2010 – All Behavioral Health Providers Trained and Certified Fall 2010 – CANS Information System Launched HELP… I need somebody… HELP… not just anybody… HELP… I need Information System Tech Support!!!

20. The Communication Plan Touch Point Calls Site Visits System Testing/Provider Involvement Communication Meetings at all Levels –Service Coordination Unit Directors –Technical Advisory Committee –Ongoing Technical Assistance for Staff in the Field (Building Relationship) Email Blasts

21. CANS Champions TRAIN THE TRAINER KICK-OFF AND THE IMPORTANCE OF BREAKING BREAD QUARTERLY MEETINGS –CANS AND THE SERVICE PLAN –TOOL CHANGES –BROCHURES/LOGO ONGOING COMMUNICATION BETWEEN MEETINGS

22. RIGHTEOUS LESSON A LITTLE HELP FROM MY FRIENDS

23. Social Movement Stage 5 Perception of Failure

24. Two steps forward …one step back SEE GOALS UNACHIEVED SEE POWERHOLDERS UNCHANGED SEE MOVEMENT AS STALLED PART OF THE MOVEMENT PROCESS ROLL OUT STRATEGIC, ACHIEVABLE OBJECTIVES CELEBRATE AS OBJECTIVES ARE ACHIEVED Perceptions of Failure

25. I have not failed 700 times. I have not failed once. I have succeeded in proving that those 700 ways will not work. When I have eliminated the ways that will not work, I will find the way that will work. ~ Thomas Edison

26. Westmoreland, Pennsylvania 2009 population of 362,251 4.8% < 5 years of age 19.8% < 18 years of age Child Serving Systems not under a human services consortium Base Service Unit acts as the gatekeeper

27. Westmoreland County … In the Beginning 2007 – Integrated Childrens Services Plan Medical Assistance Realignment activities Multiple assessment tools being used Need for a common assessment identified

28. Introducing the CANS to Westmoreland County ICSP Funding Development of CANS Comprehensive –Dr. John Lyons –Key Stakeholders Informational Sessions Train the Trainer Session CANS Roll Out Additional CANS Certification Training

29. Training Challenges … Houston, we have a problem Post-Training Expectations Unclear Administrative Support Lacking Resistance Underestimation of time and effort required in training staff

30. Implementation Challenges Lack of trained and certified staff CANS viewed as a mental health assessment tool Failure to recognize the value of the CANS on multiple levels CANS viewed as a form Lack of ongoing administration support

31. Righteous Lessons System change is Difficult Whats in it for me? Agency Mandates/Requirements Agency/System Administration support is essential Too Many Cooks in the Kitchen Smaller is Better Long Range Plan Reclaim CANS through Training Assistance

32. Righteous Lessons Data Management System Collaboration Revamping CANS Practice, practice, practice CANS as a Transformational Tool

33. TRI-COUNTY COLLABORATIVE Come together…

34. Tri-County Collaboration Shared Resources Problem Solving/Brainstorming Potential for Use of One CANS Across Counties

35. Challenges a Provider Faces Every county has different expectations of providers Different forms, assessments, and other paperwork Unfunded mandates Top down decision making that have unintended consequences

36. How the Tri-County CANS Initiative Impacts our Agency All three counties working collaboratively and seeking our input helps us to be successful. Getting a chance to shape public policy from grassroots level. Agency feels ownership in process, making it more likely for CANS implementation to be successful. Outcomes that will shape future practice.

37. Questions?

38. Contact Information: Kellie Gavran Fayette County Behavioral Health Administration kelliegavran@fcbha.org Shauna Lucadamo Allegheny County Department of Human Services slucadamo@alleghenycounty.us Robin Orlando Allegheny County Department of Human Services rorlando@alleghenycounty.us Renee Raviart-Dadey Westmoreland County Behavioral Health and Developmental Services dadeyr@Westmoreland.swsix.com Lorin Zimmerman Adelphoi Village lorin.zimmerman@adelphoivillage.org