Peace, Love… and the CANS
Mar 29, 2015
Peace, Love… and the CANS
Agenda
• Welcome• 8 Stages of a Social Movement• CANS as a Social Movement• Stage 4 – Southwestern Pennsylvania• Stage 1 - Fayette• Stage 3 – Allegheny• Stage 5 - Westmoreland• Moving Forward – Tri-County
Collaboration• Questions and Answers
Social Moveme
nt
Stage 1 Business as
UsualStage 2 Failure of
Established Channels
Stage 3 Ripening
Conditions
Stage 4 Take Off
Stage 5 Perception of Failure
Stage 6 Winning Over the Majority
Stage 7 Achieving
Alternatives
Stage 8 Consolidatio
n and Moving On
Source:: Doing Democracy: The MAP Model for Organizing Social Movements by Bill Moyer 2001
The CANS…
…as a Social Movement
Social movements do not move in a linear way… movements have many demands for policy changes and their efforts for
each demand are in a specific stage.
Adapted from Bill Moyers’ “History as a Weapon”
CANS
Stage 4
Take Off
TAKE OFF
• Trigger event• Dramatic campaigns• Actions show that conditions and
policies violate widely held values• Problem put on agenda• New social movement rapidly
takes off
Social Moveme
nt
Stage 1 Busines
s as Usual
Business as Usual
• Get and keep people thinking about the problem AND the solution
• Support through small groups• Spread the word• Begin winning people over
Fayette County… 10+ years ago CYS, JPO, & MH had a
Vision
Population: 143, 925
Urban, Rural and Farm Residences
Six School Districts
Vision: “To Improve the Collaboration Between Families and the Children’s Service System”
• One common tool or assessment that all families and children’s service providers could use, and understand
• Family & providers can all communicate and identify areas of needs, concerns, and strengths together
• Families don’t have to share their stories over and over again
• Minimize duplication of services
Where to Start?
• CYS, JPO, Behavioral Health (BH) Agreement
• Researched and found data systems, used ICSP funds (KIDnet & CISS) 2008
• Piloted High Fidelity Wraparound 2008
• Trained CYS, JPO, & BH Staff on CANS & KIDnet
• Trained Family Service Providers (FSP) on CANS
2010 Implementation
• Visited individual Family Service Providers & demo KIDnet
• Piloted with Adelphoi Village (Champion) KIDnet Implementation
• Trained FSP on KIDnet• Follow-up Webinars to discuss data & KIDnet
barriers and problems ~ user stumbling blocks…ongoing
• Training to be a CANS Trainer & Coach ~ sustainability plan
• Sustain CANS by training CANS Trainers within the provider system
RIGHTEOUS LESSON
Communicate, Communicate, and go back and send out a reminder… Remember things will still not always go as planned, so learn to problem solve and work with what you have, BE POSITIVE, Respectful of Time, & PURPOSEFUL
Social Moveme
nt
Stage 3 Ripening Condition
s
Ripening Conditions
• Recognition of problem grows• Uninterested become interested• Increased awareness and visibility• More active local groups• Need pre-existing institutions and
networks available to new movement• Constant outreach
Allegheny County, Pennsylvania
Population: 1.3 million
130 municipalities
91 neighborhoods in the city of Pittsburgh
Serving - 194,972 residents DHS Budget – $987.3 million Funding sources – 183 each with separate laws, regulations and reporting requirements
DHS Service Providers – 395 with 473 contracts for 1,600 services by providers
Increased Visibility…What a Long Strange Trip It’s Been
• July 2010 – All Behavioral Health Providers Trained and Certified
• Fall 2010 – CANS Information System Launched
HELP… I need somebody… HELP… not just anybody… HELP…
I need Information System Tech Support!!!
The Communication Plan
• Touch Point Calls• Site Visits• System Testing/Provider Involvement• Communication Meetings at all Levels
– Service Coordination Unit Directors– Technical Advisory Committee– Ongoing Technical Assistance for Staff in
the Field (Building Relationship)• Email Blasts
CANS Champions
• TRAIN THE TRAINER KICK-OFF AND THE IMPORTANCE OF BREAKING BREAD
• QUARTERLY MEETINGS– CANS AND THE SERVICE PLAN– TOOL CHANGES– BROCHURES/LOGO
• ONGOING COMMUNICATION BETWEEN MEETINGS
RIGHTEOUS LESSONA LITTLE HELP FROM MY FRIENDS
Social Moveme
nt
Stage 5 Perceptio
n of Failure
Two steps forward …one step back
• SEE GOALS UNACHIEVED• SEE POWERHOLDERS UNCHANGED• SEE MOVEMENT AS STALLED• PART OF THE MOVEMENT PROCESS• ROLL OUT STRATEGIC, ACHIEVABLE
OBJECTIVES• CELEBRATE AS OBJECTIVES ARE
ACHIEVED
Perceptions of Failure
“I have not failed 700 times. I have not failed once. I have succeeded in proving that those 700 ways will not work. When I have eliminated the
ways that will not work, I will find the way that will work.”
~ Thomas Edison
Westmoreland, Pennsylvania
2009 population of 362,251
• 4.8% < 5 years of age• 19.8% < 18 years of age
Child Serving Systems not under a human services consortium Base Service Unit acts as the “gatekeeper”
Westmoreland County… In the Beginning
• 2007 – Integrated Children’s Service’s Plan
• Medical Assistance Realignment activities
• Multiple assessment tools being used
• Need for a common assessment identified
Introducing the CANS to Westmoreland County
• ICSP Funding• Development of CANS Comprehensive
– Dr. John Lyons– Key Stakeholders
• Informational Sessions• Train the Trainer Session • CANS Roll Out• Additional CANS Certification Training
Training Challenges… Houston, we have a problem
• Post-Training Expectations Unclear• Administrative Support Lacking• Resistance• Underestimation of time and effort
required in training staff
Implementation Challenges
• Lack of trained and certified staff• CANS viewed as a “mental health”
assessment tool• Failure to recognize the value of the
CANS on multiple levels• CANS viewed as a form• Lack of ongoing administration support
Righteous Lessons• System change is Difficult• What’s in it for me? • Agency
Mandates/Requirements • Agency/System
Administration support is essential
• Too Many Cooks in the Kitchen
• Smaller is Better• Long Range Plan• Reclaim CANS through
Training Assistance
Righteous Lessons• Data Management
System• Collaboration• Revamping CANS• Practice, practice,
practice • CANS as a
Transformational Tool
TRI-COUNTY COLLABORATIVECome together…
Tri-County Collaboration
• Shared Resources • Problem Solving/Brainstorming• Potential for Use of One CANS Across
Counties
Challenges a Provider Faces
• Every county has different expectations of providers
• Different forms, assessments, and other paperwork
• Unfunded mandates• Top down decision making that have
unintended consequences
How the Tri-County CANS Initiative Impacts our Agency
• All three counties working collaboratively and seeking our input helps us to be successful.
• Getting a chance to shape public policy from grassroots level.
• Agency feels ownership in process, making it more likely for CANS implementation to be successful.
• Outcomes that will shape future practice.
Questions?
Contact Information:
Kellie GavranFayette County Behavioral Health Administration
Shauna LucadamoAllegheny County Department of Human Services
Robin OrlandoAllegheny County Department of Human Services
Renee Raviart-DadeyWestmoreland County Behavioral Health and
Developmental [email protected]
Lorin ZimmermanAdelphoi Village