Allison Metz, PhD Karen Blase, PhD Melissa Van Dyke, LCSW Frank Porter Graham Child Development Institute University of North Carolina at Chapel Hill Installing Alternative Response in Ohio Using Implementation Drivers for Systems Change Ohio Alternative Response Summit Workshop on Implementation Drivers May 14, 2010
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Allison Metz, PhD Karen Blase, PhD Melissa Van Dyke, LCSW Frank Porter Graham Child Development Institute University of North Carolina at Chapel Hill Installing.
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Allison Metz, PhDKaren Blase, PhD
Melissa Van Dyke, LCSWFrank Porter Graham Child Development Institute
University of North Carolina at Chapel Hill
Installing Alternative Response in OhioUsing Implementation
The Ohio Department of Job and Family Services [in collaboration with several entities] will develop a statewide child protection system with two pathways: an investigation pathway and an alternative response pathway – that assesses and responds to unique safety concerns, risks, and protective capacities of each family who is subject of an accepted report of child maltreatment.
Work of Implementation“Systems don’t change - people do.”
– Jim Wotring, Georgetown University
Changing the thinking and behavior of:Adult human service professionals (frontline practitioners) so that positive outcomes are more frequently created for children and families.
Administrators in organizations (Supervisor, Managers, Directors) so that structures, cultures, and climates change to support new ways of work
System directors, policy makers, and funders (State Agency, Family Courts) so that implementation is supported and outcomes can be achieved
Competency Drivers are mechanisms that help to develop, improve, and sustain one’s ability to implement an intervention with fidelity and benefits to consumers. Competency Drivers include: Selection, Training, Coaching, and Performance Assessment
Organization Drivers are mechanisms to create and sustain hospitable organizational and systems environments for effective services. Organization Drivers include: Decision Support Data System, Facilitative Administration, and Systems Intervention
Leadership Drivers are methods to manage Technical problems where there is high levels of agreement about problems and high levels of certainty about solutions and to constructively deal with Adaptive challenges where problems are not clear and solutions are elusive
Decision Support Data Systems in Early Stages of Implementation
Assess data collection requirements including technology and training needs
Assess technology capacity and integration issues
Identify resources for assessing fidelity
Identify possible data sources and processes that will tell you how well the Decision Support Data Systems Driver is currently functioning in your State or County agency.
Make plans for incorporating data into program improvement cycles
No such thing as a purely administrative decision!!....They are all decisions about
Quality Practice with Children and Families!!
Purposes:Facilitates moving through implementation stagesEnsures effective use of Competency DriversTakes the lead on Systems InterventionsUtilizes data for improvementLooks for ways to make work of practitioners easier and more effective!!
Facilitative Administration in Early Stages of Implementation
Assess policies and procedures needed to support new way of work
Provide leadership and support
Identify champions
Create communication plans
Support teaming approach; share decision-making
Create buy-in for business NOT as usual - Take risks!
Identify possible data sources and processes that will tell you how well the Facilitative Administration Driver is currently functioning in your State or County agency.
Systems Interventions Driver in Early Stages of Implementation
Identify systems barriers and facilitators
Create and strengthen necessary external partnerships
Set up policy to practice to policy to practice (4P) feedback loops
Identify transformation zones
Engage and grow systems champions
Identify possible data sources and processes that will tell you how well the Systems Intervention Driver is currently functioning in your State or County agency.
Organizational Implementation Drivers Analysis and Discussion Template
OrganizationalImplementation Drivers
Does Driver exist?(yes/no)
Responsibility for Driver? (who, what dept/entity)
How does the Driver currently support implementation?
How well integrated is the Driver with the other Drivers?
Is there a measure of Driver effectiveness? How might you know the Driver is effective?
How can the Driver be used more purposefully to support fidelity, outcomes, and/or sustainability?
According to Ron Heifitz and his colleagues, one of the biggest mistakes “leaders” make is to incorrectly identify the type of challenge they are facing
Implementation Drivers INTRODUCING DRIVERS TO SUPPORT YOUR CHANGE INITIATIVE: Discuss how you will introduce Drivers to your county workgroups or implementation teams. What would you need to do to prepare for such a conversation?
DRIVERS AND DATA: Consider Alternative Response model. List the data sources for assessing each driver and discuss a yearly process for evaluating the quality and integration of the Drivers.
BEST PRACTICES FOR DRIVERS: Consider an innovation that your state is currently implementing. Using the Drivers Checklist, assess the current implementation practice against the best practices listed on the handout for one “key position” (e.g. family group conferencing facilitator).
Given your assessment, what are your next steps.
If you don’t have information, what are your sources of information?
Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M. & Wallace, F. (2005). Implementation Research: A Synthesis of the Literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231).