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A Theory Of Change Approach For Developing Systems Of Care

This article explores the theory of change approach for developing systems of care, focusing on the challenge of complexity in human service systems. It discusses the importance of understanding the population of concern, setting clear goals and outcomes, and implementing local strategies to improve service delivery and outcomes.

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A Theory Of Change Approach For Developing Systems Of Care

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  1. A Theory Of Change Approach For Developing Systems Of Care Presented byMario Hernandez, Ph.D. February 2009 Ottawa

  2. The Challenge Of Complexity • Human service systems are often asked to respond to multiple and changing needs • Service delivery environments are complex and frequently changing • Size • Effective systems must find ways to respond and manage complexity

  3. “From an early age, we are taught to break apart problems, to fragment the world. This apparently makes complex tasks and subjects more manageable, but we pay a hidden, enormous price. We can no longer see the consequences of our actions; we lose our intrinsic sense of connection to a larger whole” (p.3). Peter Senge (1990).The fifth discipline: The art and practice of the learning organization. New York: Doubleday.

  4. Reform: Systems Of Care Improved implementation of effective practices across organization levels Improved availability of services Improved pathways to care Improved Outcomes ƒ + + Values and Principles of a System of Care

  5. Linking Ideas To Action Implementation of Services Conceptualization and Operationalization Assumption: the degree of overlap between the two functions contributes to improved planning and service delivery

  6. What Is A Theory Of Change? The underlying assumptions and strategies that guide local system of care development and are believed by local planners/builders to be critical to producing changes in available service/supports that are expected to lead to improvements for children and their families.

  7. Theory Of Change • Beliefs that system, planners, builders, and implementers have about: • What children with serious emotional/behavioral challenges and their families need from services/supports in order to thrive in their communities • and… • What local strategies will enable these services/supports to become available and meet those needs

  8. Theory Of ChangeComponent 1 • Three core elements of a Theory of Change: • A clear description of the local population of concern • A clear articulation of goals and outcomes • A clear description of local strategies that includes services/supports and the associated infrastructure

  9. Theory Of ChangeComponent 2 Population Context Outcomes Theory of Change Strategies • A clearly expressed relationship between the three core elements

  10. Where Theories Of Change Can Be Found

  11. Developing Local Theory

  12. http://logicmodel.fmhi.usf.edu

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