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2009 Provider Expo

2009 Provider Expo. A Celebration of Working Together to Strengthen Communities. Integrated System of Care Developer. Care Management Provision Dawn Project, Indiana 1997 Cincinnati, Ohio 2002 Rockville, Maryland 2005 Baltimore City, Maryland 2006 Baltimore County, Maryland 2007

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2009 Provider Expo

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  1. 2009 Provider Expo A Celebration of Working Together to Strengthen Communities

  2. Integrated System of Care Developer Care Management Provision Dawn Project, Indiana 1997 Cincinnati, Ohio 2002 Rockville, Maryland 2005 Baltimore City, Maryland 2006 Baltimore County, Maryland 2007 St. Mary’s County, Maryland 2007 Harford County, Maryland 2008 Washington, DC - fall 2008 System of Care Support Youth Emergency Services 1998 Back to Home, 1999 Child Abuse Hotline 2004 Full Purpose Partnership 2004 Reception Center 2007 Training and Consulting TA Center 2003 National Consulting - ongoing

  3. Choices Care Management • Over 220 Employees • $38 Million Annual Budget • Over 1000 youth served in Child Family Teams daily • Working across ALL child serving systems – 60% CW 235 120 300 150 20 Indianapolis – Indiana (1997) Cincinnati – Ohio (2002) Rockville – Maryland (2005) Baltimore City – Maryland (2006) St. Mary’s – Maryland (2007) Washington DC (2008)

  4. Families driving the Plan Access Provider Network 60 minute meetings Crisis Plan within 24 hours CFT meetings every 30 days Authorize all of the care

  5. Individualized Care Plan Case Manager Child Welfare Family Mental Health/ Substance Abuse School Juv Probation Care Coordinator Single point of Communication PLAN FAMILIES DON’T FAIL--PLANS DO

  6. System of Care Core Values: • Community Based • Child centered and Family focused • Culturally Competent Guiding Principles: • Comprehensive – a broad array • Individualized – not a cookie cutter approach • Coordinated both at the system and service delivery levels • Involve families and youth as full partners • Emphasize early identification and intervention

  7. System of Care Process Family Involvement Care Coordination Treatment & Supports Cultural Competence Community Based

  8. A System of Care is… • One Stop Shop for all human service systems • NO WRONG DOOR for children and families across ALL systems • A Place where I’d send my family With the values and principles guiding the process

  9. Parallel Processes across Child Serving Systems • Child Welfare – state reforms include “child familyteams”, family group conferencing • Juvenile Justice– restorative justice uses a teamapproach, • Mental Health– wraparoundteamprocess • Education– IEP – Individualized Educational Plans –teambased • Developmental Disabilities– person centered planning team

  10. National Trends

  11. TEAMS

  12. 5 Dysfunctions of a Team Patrick Lencioni tells us: • Not 5 distinct issues • Interrelated and interdependent • One link broken, the teamwork disintegrates

  13. Teams that DIDN’T work Characteristics of why they didn’t work

  14. 1 leader, no others No trust amongst them Designated leader doesn’t lead No plan for follow through No understanding of mission No sense of humor No communication Lack of empathy No compromise Lack of self-esteem Lack of hard work Not even participation Unrealistic goals Teams that DIDN’T work

  15. Consistency Broad group with common purpose Time limited, short concise Share the load Assistance, resources Role clarity Humor All work together Compromise Motivated Single purpose Follow through Respect, sharing Dedication Equals, understand Food Teams that DID work

  16. Stages of Team Development

  17. When looking at the stages • Each stage is predictable and every team goes through each stage • Each stage is manageable by the leader. It offers a plan for leadership • Knowledge of the stages helps both the leader and members understand what is happening in the team and why

  18. LEARN FROM THE PEOPLEPLAN WITH THE PEOPLE…WHEN THE TASKIS ACCOMPLISHEDTHE PEOPLE ALL REMARKWE HAVE DONE IT OURSELVES- Lao-tzu

  19. Team basketball clip

  20. Collaboration vs. Clobberation

  21. “CLOBBER”ation is… clob·ber   (klŏb'ər) clob·bered, clob·ber·ing, clob·bersSlang • To strike violently and repeatedly; beat or maul. • To defeat decisively • To criticize harshly • Final answer (my add-on) Dictionary.com, 2009

  22. Collaboration Col*lab`o*ra"tion\, n. The act of working together; united labor. col·lab·o·rate • To work together, especially in a joint intellectual effort. • To cooperate treasonably, as with an enemy occupation force in one's country. Dictionary.com, 2009

  23. Collaboration Winer & Ray, 2000 from the Collaboration Handbook definition: “Collaboration is a mutually beneficial and well-defined relationship entered into by two or more organizations to achieve results they are more likely to achieve together than alone.”

  24. Factors that Make or Break Collaboration • Ideology • Leadership • Power • History • Competition • Resources Winer & Ray, 2000

  25. Foundation for Successful Collaboration • Mutual agreements • Common goals and missions • Win-Win for all • Mutual satisfaction • Hard work and effort

  26. Change Imposed is Change OpposedWhen YOU choose to ChangeYou Gain!

  27. Softball

  28. Collaboration The elements necessary for successful collaborative efforts:

  29. ColLABORation Labor – hard work

  30. CollabORATION Labor – hard work Oration – talking together

  31. CoLLABoration Labor – hard work Oration – talking together Ball – having fun, successes

  32. ColLABoration Labor – hard work Oration – talking together Ball – having fun, successes Lab – new learning, experiment

  33. ColLaboRATIon Labor – hard work Oration – talking together Ball – having fun, successes Lab – new learning, experiment Trail – new ground together

  34. ColLabORATIon Labor – hard work Oration – talking together Ball – having fun, successes Lab – new learning, experiment Trail – new ground together Tailor - individualized, unique

  35. COLLAborATION Labor – hard work Oration – talking together Ball – having fun, successes Trail – new ground together Lab – new learning, experiment Tailor – individualized, unique Allocation – the funding will follow

  36. “It has never been done this way before”“You can’t do it that way”“We don’t operate that way here”

  37. PARTNERSHIP Commitment YOU THEM Compliance Tolerance Passive Resistance ActiveResistance STEPS ON THE LADDER OF CHANGE PTP: AM I PART OF THE SOLUTION OR PART OF THE PROBLEM?

  38. Building a Collaborative Community • Cooperation • Shorter term informal relations, sharing info – one way; no risks (low intensity) • Coordination • More formal relationships and understanding of missions – no money shared or pooled • Collaboration • Durable and pervasive relationship with full commitment to a common mission; jointly share results and rewards – show me the $$ (high intensity)

  39. Collaborative Features • Public and Private Human Service agencies • Community steering committees or consortiums • Multiple public funders • Local community mental health and health centers • School districts • Family support network involvement

  40. Community Communication Method Community • Consortium meets monthly • Payers/Referrers/Providers meet monthly • Agency Board & Clinical Workgroup meets monthly • Semi-annual focus groups with referring agencies • Supervisors meet bi-weekly with Manager • Supervisors facilitate weekly Peer review • Supervisors meet with CC’s 1:1 daily • Supervisors meet quarterly with Referring • Supervisors • CC’s & Supervisors meet with Psych MD’s • Mandatory all staff training weekly • CC’s hold Service Team meetings < 30 days • Director available for consults daily Supervisors Line Staff

  41. Culture of Care Values Agencies Community FAMILY Service Coord. ServiceTeamReps. PTP: SHOULDN’T WE KNOW THE DX OF EVERYONE INVOLVED? PTP: SHOULDN’T WE KNOW THE STRENGTHS OF EVERYONE INVOLVED?

  42. Hospitable System (Policy and Funding Context) Supportive Organizations (lead and partner agencies) Effective, Collaborative Planning

  43. PEOPLE ARE MUCH MORE LIKELY TO ACT THEIR WAY INTO A NEW WAY OF THINKING THAN TO THINK THEIR WAY INTO A NEW WAY OF ACTINGHBR – 5/2005

  44. Cross System/Community Collaboration • Shared Community Vision – “what is your community’s shared vision?” • Educational opportunities • Surveys – focus groups • Job shadow cross system • Meetings – sharing • Share opportunities, consultants, etc.

  45. Sustainability • Value driven system in community • Emphasized strengths based • Family Driven • Community Teams – shared risks • Collaboration from community & program partners • Delivering a cost effective & quality product • Helping our referral partners do their job better • Training • Cross training – we provide strengths based training and they provide system specific • Regular, ongoing and then situational/as needed

  46. Teamwork

  47. As your PARTNER, we promise to… Put your needs first in every situation Add value to your personal leadership Recognize we serve a common goal Tailor our services to meet your need Never take for granted the trust placed in us Embody excellence in everything we do Respect everyone’s uniqueness

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