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TRANSCRIPT
Company
LOGO
CWLA National Blueprint – Strategies for
Excellence in Child Welfare and How to
Apply Them
September 8, 2017
2017 Biennial Conference:
Implementing Evidence-Supported Services
for Children and Families e
PRESENTERS
2
Julie Collins, MSW, LCSW
• VP Practice Excellence, CWLA, Washington DC
Nancy Gagliano, MSW
• Assistant Director, Office of Strategic Development, NJ Department of Children & Families, Trenton, NJ
* Permission has been given by NIRN for the use of their slides in this
presentation – they are adapted from Bringing the CWLA National Blueprint to Life
– using what we know works from Implementation Science, March 30, 2017 CWLA
National Conference co-presented by Allison Metz , Director, National
Implementation Research Network (NIRN), and Senior Scientist. Frank Porter
Graham Child Development Institute, University of North Carolina at Chapel Hill
OBJECTIVES
3
Increase participant knowledge of CWLA Blueprint
Increase general understanding of Implementation
Increase ability to use implementation principles to
unpack the CWLA Blueprint
Increase understanding of CWLA’s next steps to
support implementation of the Blueprint
Checking the Room Pulse
Who in the room provides direct service?
Manages an organization?
Supervises staff that provides direct service?
Who has seen the National Blueprint For Excellence in Child
Welfare?
Who is using the National Blueprint?
Who in the room has utilized implementation science principles
when integrating new or modifying existing programming?
Who in the room is interested in changing the way they work to
better serve families?
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CWLA Mission and Vision
CWLA leads and engages its network of public
and private agencies and partners to advance
policies, best practices and collaborative
strategies that result in better outcomes for
children, youth and families that are vulnerable.
Our vision is that every child will grow up in a
safe, loving, and stable family.
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Formed by a group of public and private organizations
Focus is on standard setting and advocacy
Also provide training, consultation and publications.
Celebrates 100th birthday in 2020
Mission has not changed but the way it is carried out has evolved over the years
CHILD WELFARE LEAGUE OF AMERICA
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In 1925 created standards for foster care placements
In 1938 issued first set of minimum standards for temporary vs. permanent placements
After 1955 initiated more ambitious program of standardization
Standards of Excellence done for each practice area
CWLA Standard Setting History
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Presents a vision for the future of child welfare
Child Welfare has a specific role but everyone shares responsibility for the well- being of children.
National Blueprint applies to all children
Designed as foundation on which all can create the greatest opportunities for all children and youth to succeed and flourish
National Blueprint for Excellence in Child
Welfare
CWLA STANDARDS OF EXCELLENCE
CWLA National Blueprint for Excellence in Child Welfare
The foundation for CWLA Standards of Excellence and a
framework for all children, youth, and families to flourish.
CWLA Standards of Excellence for Management and
Governance of Child Welfare Services
Core volume - provides the organizational foundation for the
program-specific volumes.
Program-Specific volumes
Describe key components of the specific service.
Describe best practices with specific populations/type of
service (i.e.: pregnant and parenting adolescents, family foster
care - in a family, agency, and community context.)
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CWLA STANDARDS OF EXCELLENCE
Provide values and principles that underlie services
Describes:
core elements/components of the service,
how the service connects with other services,
key worker tasks and activities
resources, staffing, and organizational supports to ensure
service quality.
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THE CWLA NATIONAL BLUEPRINT
The foundation for
CWLA Standards of
Excellence and a
framework for all
children, youth, and
families to flourish.
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VISION
All children will grow up
safely, in loving families
and supportive
communities, with
everything they need to
flourish—and with
connections to their
culture, ethnicity, race,
and language.
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CORE VALUES
We believe in integrity, fairness, social justice, dignity, & honesty.
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Children, Youth,
Families and Communities
Service
Humility
Inclusiveness
Collaboration
Trust Flexibility
Innovation
Competence
Respect
CWLA National Blueprint Principles
14 8/31/2017
Children, youth,
&families
flourish
Rights of Children
Shared Resp & leadership
Engagement
/Participation
Workforce
Quality Improvement
Supports & Services
Race, Ethnicity & Culture
Funding & Resources
Implementing Evidence-Supported
Services
Social Impact –strategies for ensuring that evidence-supported
programming realizes its potential for positive population outcomes.
Funding – strategies for ensuring that evidence-supported
programming is adequately funded.
Policy and Practice - Strategies for ensuring that policy is in service
to the evidence-supported programming.
Guidelines for Treatment and Services - Strategies for ensuring the
infrastructure and supports are in place and “in service” to the
evidence supported programming.
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I.12 Children are protected from discrimination on the basis of race, color, age, disability, gender, familial status, religion, sexual
orientation, gender identity, genetic information, language, religion, national, ethnic or social origin, political beliefs, or citizenship.
I.15 Children are protected from corporal punishment.
IV.5 Children, youth, and families have ample opportunities for safe, positive social connections within their own
communities.
National Blueprint Example of
Social Impact
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IV.14 Each entity has clearly articulated policies and procedures for assessment and service planning.
III.5 People with experience as service recipients or family members of service recipients serve as mentors; help to educate those working with children, youth,
and families; and serve on governing and/or advisory boards.
III.4 Each entity fully engages youth and families in all aspects of the work, including program design and development, policy and procedure development, hiring, staff orientation and training, practice guidelines, evaluation, and quality
improvement processes.
National Blueprint Examples of Policy and
Practice
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VIII.3 Funders collaborate with each other, with communities, and with providers to identify needs and shared priorities, promote sensible
application and eligibility criteria, identify obstacles, and allocate funds and other resources wisely.
VIII.4 Funders promote and fund concepts and strategies that are consistent with the CWLA National Blueprint’s vision, values,
principles, and standards
VIII.9 Entities with contractual and funding relationships work together to be jointly accountable and to ensure that funding for supports and services for children, youth, and families is adequate, equitable, and
that there is the wisest possible use of public and private funds.
National Blueprint Examples of Funding
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VI.14 Each person has opportunities to engage in formal and informal learning, on the job, through continuing education,
coaching or mentoring, and through collaboration with peers.
VI.7 The performance of each employee and volunteer is evaluated at least annually.
V.6 Each entity collects meaningful data to support its ability to make decisions; improve proactively; and help children, youth, and
families to achieve identified outcomes.
National Blueprint Examples of
Guidelines for Treatment and Services
Successes and Challenges
Nationally
Successes
Public Agency Leaders using it as a tool for discussion
with their community partners around how they can help
and vice versa
In Strategic Planning Process
In Advocacy with State Legislature
Community Collaborative to Assess Performance to Help
Public Child Welfare Agency Outcomes
Challenges –
Where to start
What should the outcome measures be to determine if
they have gotten there
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Successes and Challenges
For You
For those of you that have tried or been using the
National Blueprint what were some of the
challenges?
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It’s a Big World
(and a big Blueprint )
Where do I begin?
Applying the National Blueprint
o Where do I start?
o How do I make this usable?
o Is there a step by step guide?
o How do I map this out?
o Is there an organized way to use the blueprint to
get to the CW outcomes we want?
How do we shift the way we work to better serve families?
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“The systematic study of specified activities designed to put into practice activities or programs of known dimensions”
National Implementation Research Network
What?
Implementation Science
Active Implementation
Active Implementation
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Active Implementation
What works, for
whom, why, and
in what
circumstances?
Contextual fit is the match
between the strategies,
procedures, or elements of an
intervention and the values,
needs, skills and resources of
those who implement and
experience the intervention.
(Horner, Blitz & Ross, 2014)
Active Implementation
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Active Implementation
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Developing visible supports
Supports throughout the
system
and for multiple programs
-Competency Supports
-Organizational Supports
-Leadership Supports
What does Prena need to support her practice?
]
• Competency Supports
Selection Process
Training Process
Coaching Process
Fidelity Assessment
Decision Support
Data Systems
Facilitative
Administration
Systems
Intervention
• Organizational Supports
• Leadership Supports
Active Implementation
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Active Implementation
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Collaboration and Teams
Communication, Learning and CQI
Active Implementation
Collaboration and Teams
Working in complex systems
requires the engagement and
influence of multiple stakeholders.
This requires a different kind of
leadership- moving from solo heroes
to collaboration and teamwork.
Active Implementation
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Implementation Team
A group of
stakeholders that oversees, attends to, and is accountable for, key functions in the selection and
implementation of an intervention by
ensuring:
Families and community members are
engaged
The practice is defined and
operationalized
Implementation supports are in place
Implementation is measured and
monitored
Outcomes are achieved and sustained
Active Implementation
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Implementation Team
What it is not!
• An advisory body
• A group that provides only
periodic input or meets during
crisis
• Technical work group
• Learning collaborative
Active Implementation
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Communication, Learning and CQI
Operational learning should be a core
value of the implementation setting
(Chambers, Glasgow, & Stange, 2014)
Dedicating time for reflecting or debriefing
before, during, and after implementation
is one way to promote shared learning
and improvements along the way
(Damschroder et al., 2009)
Active Implementation
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Communication
and Learning
Program Management
Team
Pra
cti
ce
Info
rms P
olicy
Su
sta
inab
ilit
y
Po
licy
En
ab
les
Pra
ctic
e
Implementation
Team
Direct
Service Staff
Active IActive Implementationtation
Effective
Practices
Effective
Implementa
tion
Enabling
Context
Improved
Outcomes
Implementation Defined. (n.d.).
Retrieved November 22, 2016, from
http://nirn.fpg.unc.edu/learn-
implementation/implementation-
defined
Intervention
Selection Teams
Data &
Communication
Drivers
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CWLA National Blueprint for
Excellence in Child Welfare!
APPLYING ACTIVE IMPLEMENTATION
UNPACKING A STANDARD USING
ACTIVE IMPLEMENTATION
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USING STANDARD III.4
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Effective
Implementation
Enabling
Context
Effective
Intervention
Socially Significant Outcome YOUTH AND FAMILY INVOLVEMENT
PROGRAMS THAT:
Engage Youth &
Families in
Programming
* participation as partners
* leadership skills
* participation in case
and/or issues of advocacy
* ask how they want to be
involved/ what constitutes
meaningful involvement.
* Communicate
engagement to
stakeholders
Focus on Youth &
Family Advocacy
INFRASTRUCTURE THAT IS IN
SERVICE TO THE INTERVENTION
(DRIVERS)
Fully engage Y & F in:
* HIRING
* TRAINING (and orientation)
* TRAINING Engagement Strategies
* COACHING - MISSING
* PERFORMANCE ASSMT - MISSING
* Evaluation (DSDS)
* FACILITATIVE ADMINISTRATION
** in policy & procedure development.
** has P & Y participation process
* SYSTEMS: communicate P & Y
participation, leadership, and advocacy
and meaningful involvement to
stakeholders and to the general public
* LEADERSHIP- MISSING
CONTEXT THAT IS
ENABLING
Conditions such as:
* Engagement of Y & F
communicated to
stakeholders and to the
general public.
* Y & F are engaged in
Quality Improvement
Processes
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Do we have to do this for every
standard in order to implement the
blueprint?
We Hope Not!
We are working on securing funding
for an Implementation Guide where
this will be done for you!
IMPLEMENTATION GUIDE
Unpacking the National Blueprint Around Active Implementation!
• Socially Significant Outcomes
• Interventions
• Implementation Supports
• Competency focused - hiring, training, coaching
• Organizational focused– data systems, facilitative administration, systems
• Leadership focused
• Enabling Context
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MAKING LIFE EASIER
An Implementation Guide that REALLY Guides
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Start with the outcomes – what are you trying to achieve?
Identify Interventions to Get to those Outcomes
Identify Implementation Supports that are “in service to” the Intervention
Identify Conditions that will Enable the Intervention to Thrive
LOOK AT THAT!
The Blueprint is Very Active
Implementation Informed!
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Next Steps - Implementation Guide
CWLA Advisory Group Overseeing Development
of the Implementation Guide
Seeking funding to complete the guide and test it
in the field
Identifying Existing and Developing New
Resources
Dissemination – Sometime next year
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Buy the National Blueprint -http://www.cwla.org/our-work/cwla-standards-of-excellence/national-blueprint-for-excellence-in-child-
welfare/
Look for the Readiness Assessment Tool – by end of 2017
Attend the CWLA National Conference in Washington, DC April 26-28, 2018 http://www.cwla.org/resilience2018/
Become a CWLA member and join the National Blueprint Community of Practice - http://www.cwla.org/membership/
What You Can Do Now
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RAFFLE!
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CONTACT INFORMATION
Julie Collins MSW LCSW
VP Practice Excellence
CWLA
www.cwla.org
Nancy Gagliano, MSW
Assistant Director, Strategic Development
NJ Department of Children & Families
www.state.nj.us/dcf