The National Building Bridges Initiative (BBI): Self Assessment Tool (SAT) Simulation

1. The National Building Bridges Initiative (BBI): Self Assessment Tool (SAT) Simulation Training Institutes July 2010 Robert Lieberman, M.A. Joe Anne Hust Richard Dougherty, Ph.D. Brian Lombrowski, M.P.P.

2. National Building Bridges Initiative (BBI): Intensive Workshop Goals 2 • Provide an overview of national BBI mission and key BBI principles fundamental to this initiative • Describe how BBI principles have been translated and operationalized in community and residential programs into positive outcomes for youth and families served • Provide examples of different steps that can be taken by States, counties, cities, advocacy organizations, community and residential agencies to promote BBI principles • Provide a simulation opportunity to utilize the BBI Self-Assessment Tool to demonstrate its application within organizations seeking to identify challenges and their solutions through an application of BBI principles

3. BBI History 3 Began in November 2005 National Steering Committee formed Three National Summits held (2006, 2007, and June 2010) BBI Joint Resolution developed at 2006 Summit (Identifies Core Principles)

4. BBI Core Principles 4 Family Driven & Youth Guided Care (primary focus to date) Cultural & Linguistic Competence Clinical Excellence & Quality Standards Accessibility & Community Involvement Transition Planning & Services (between settings & from youth to adulthood)

5. BBI Highlights • Workgroups: • Outcomes • Youth/Family Partnerships: 2 Advisory Groups: Family Advisory Network & Youth Advisory Group • Social Marketing • Documents to support the field: • Joint Resolution • Matrix/Self Assessment Tool • Family & Youth Tip Sheets • Ongoing projects (i.e. fiscal/policy barriers & successful strategies)

6. BBI Highlights • Articles in national publications (National Council for Community Behavioral Healthcare; Teaching-Family Association; CWLA Special Edition on Residential) • State, City, County & Individual Program Initiatives • A range of Partnerships: from funding Summits to endorsing Joint Resolution to full partnerships towards systems change • Website launched 1/10: www.buildingbridges4youth.org

7. Building Bridges - Mission 7 Identify and promote practice and policy initiatives that will create strong and closely coordinated partnerships and collaborations between families, youth, community- and residentially-based treatment and service providers, advocates and policy makers to ensure that comprehensive services and supports are family-driven, youth-guided, strength-based, culturally andlinguistically competent, individualized, evidence and practice-informed, and consistent with the research on sustained positive outcomes.

8. Purpose of the SAT • To spark a dialogue – staff, community partners, families and youth. • Quality improvement : • To identify areas for improvement in “care transitions” – the “bridges.” • To increase family driven and youth guided care • To measure change in program policies and practice. 8

9. SAT: Initial Development • Committee reviewed existing measures from JCAHO, CARF, SAMHSA, NOMS, ORCF, etc. • Focused on the “bridges” between community and residential systems – the community and the residential provider. We generated a Matrix of cross-cutting measures for the “before”, “during” and “after” phases of residential care. • The first draft of the Matrix was presented at BB Summit II in September 2007 and revised with further input from multiple sources thereafter. • Beginning in early 2008, the Outcomes workgroup began to develop a Self-Assessment Tool, following the framework in the Matrix • Work proceeded and led to a draft for pilot testing beginning in December 2008 and ending August 2009

10. Elements of the SAT Sections 1. Child and Family Team 2. Family Driven Practices 3. Youth Guided Practices 4. Cultural and Linguistic Competence 5. Entry Into Residential Treatment 6. During Residential Treatment 7. Post-Residential Treatment 8. Community System of Care 9. Performance and Evaluation in the System of Care Paper and web based approaches have been designed and tested A Family and Youth version is in final stages of approval 10

11. SAT Implementation Approaches Consider the following: Use the SAT for internal staff development and training Consider adapting the simulation exercise for training Take sections of the SAT and implement in staff meetings and as part of community meetings. Facilitate a discussion of the ratings Use the Family and Youth tool as the basis for an exit interview and present results to staff at least annually Use sections for QI discussions with community partners Formalize the process internally with Board review and full implementation and analysis of results Learning collaboratives at a state or regional level Strategic Planning Other ideas? 11

12. BBI Products & Resources • BBI website (www.buildingbridges4youth.org): Please visit the website and review all of the BBI documents available to support work with children, youth and families. • BBI Self-Assessment Tool (SAT) and the SAT Glossary: Residential programs, the youth and families they serve, and their community program counterparts now have a useful tool available to assess their current activities against best practices consistent with the BBI JR Principles. • The SAT: designed to be used with groups of residential and community staff, advocates, families and youth to facilitate discussion on how program and community efforts to implement best practices can be most effectively supported. • The SAT Glossary provides a definition of terms used throughout the SAT. • Will be available on the BBI website with additional information about how to use the SAT.

13. BBI Products & Resources • Family Tip Sheets - Short and Long Versions: The BBI Family Advisory Network, comprised of family members and advocates who have had children in out-of-home care programs, have developed both short and long versions of the Family Tip Sheet. • The Family Tip Sheets identify important issues that family members should consider relative to their child’s residential experience and information they may want to explore with their residential provider. • Both versions are available distribution to family support/advocacy organizations and residential and community programs for new and existing family members. • State and county policy makers and associations may want to distribute both versions of the Family Tip Sheet to programs they oversee or to their member organizations.

14. BBI Products & Resources • Youth Tip Sheets- Short and Long Versions: The BBI Youth Advisory Group has completed both short and long versions of the Youth Tip Sheet, entitled: Your Life – Your Future: Inside Info on Residential Programs from Youth Who Have Been There. The Youth Tip Sheets offer both words of support and a framework for guiding youth to ask questions that will help them be informed partners in their own care. Both the short and long versions of the Youth Tip Sheets can also be used as part of an admission packet. • The Youth Tip Sheet – Short Version is for youth who may be considering a residential program and/or those about to enter or who are already in a residential program. Ideally, a youth advocate or youth mentor would review the Youth Tip Sheet with the youth individually. • The Youth Tip Sheet – Long Version will interest youth who wish to gain a more in-depth understanding of how they can ‘take charge’ of their own treatment and recovery and can be used by advocates, providers, families and policy makers to ensure that residential and community programs serving youth, and their families, are truly youth-guided.

15. BBI Products & Resources • BBI Calendars of Events: BBI has been presented in conference keynote addresses, half- and full-day pre-Institute events and conference presentations at many national associations and organizations. Watch the BBI Calendar of Events on the BBI website for a regular listings of events.

16. BBI Contact Information • Robert Lieberman, M.A. rlieberman@soastc.org • Richard Dougherty, Ph.D. dickd@dmahealth.com • Brian Lombrowski, M.P.P. brian.lombrowski@gmail.com • Joe Anne Hust joeanne@familyinvolvementcenter.org