View
215
Download
0
Category
Tags:
Preview:
Citation preview
Connecting Resources, Impacting Lives
FRCA Quarterly Fall Retreat Tuesday, November 3, 2015 Chris RubinoDirector, Strengthening Families Programs
Timeline to Prove/Increase Evidence Base of FRC Model
ACTIVITY TIMELINE STATUS/DELIVERABLESFocus Groups Spring 2013 Summarize findings and
write report - COMPLETED
Literature Review Spring-Summer 2013
COMPLETED
Develop Conceptual Framework and document comprehensive program description
Summer- Fall 2013
Logic Model - COMPLETED
Refine and Develop Outcome Measures
Summer-Fall 2013 to 2015
Assessment Tool , CFSA 2, Reliability Study - COMPLETED
Refine Measurement Strategy Fall 2014 – Summer 2015/ongoing
2015 Evaluation Report, Compare Standards baseline /annual ratings - COMPLETED
Next Step on TimelineAC TIVITY TIMELINE STATUS/DELIVERABLES
Implementation with Fidelity
1. Quality Standards Tool2. Organizational Assessment3. Update webinar trainings
and CFSA 2.0 Guidelines4. Train on Common
Demographics and Screening and Pathways
5. Train on above and Touchpoints
6. Develop Supports for implementation with fidelity
What is Fidelity?• The degree to which the program or practice
is implemented ‘as intended’ by the program developers/researchers– Adherence– Integrity– Delivered in a “comparable” manner
…SO THAT it is more likely that comparable outcomes will be more consistently achieved
The Implementation Group: Progress & Possibilities November 20, 2013
General Services PathTrack general efforts in ETO
General Outreach External Programs Brief Emergency Assistance
SERVICE TYPES THAT DEFINE EACH CATEGORY(AND EXAMPLES)
Programs - flyers, newsletters, comm events, EC screenings
Phone/ Walk-In Referrals
Non-cash brief assistance ExamplesClothingFood bank
INTAKE REQUIREMENTS
None None None
ETO DATA ENTRY General Services General Services General Services
FOLLOW UP Not Required Not Required Not required: Recommended
ETO DATA ENTRY AT FOLLOW UP
Not Required Not Required Not Required
Center Services PathTrack Individuals/families in ETO
Emergency Services Center Program/Service (Adult/Family)
Center Program/Service (Child Only)
SERVICE TYPES THAT DEFINE EACH CATEGORY(AND EXAMPLES)
Financial assistanceExamplesHousing assistanceUtility assistanceMedical assistanceFood Bank (recommended)
Any service or prorgram provided by the FRCExamplesLife Skills/job trainAdult/family healthParenting programs
Any service or program provided by the FRC to children (no in-person adult contact)Child health e.g. CATCH
INTAKE REQUIREMENTS
FRC Common Demographics & Screening*
FRC Common Demographics
FRC Common Demographics
ETO DATA ENTRY Individual/Fam levelDemographics/scre
Individual/Fam levelDemographics/scre
Individual/Fam levelDemographics/scre
FOLLOW UP 30 days: refer to fam dev as appropriate
45 days/program end
Not Required
ETO DATA ENTRY AT FOLLOW UP
FU touchpoint FU touchpoint Not required
Family Development PathTrack Individuals/families in ETO
Family Development (FD)
SERVICE TYPES THAT DEFINE EACH CATEGORY(AND EXAMPLES)
FD service with CFSA 2.0 and Goal SettingRequired for-PAT families-CCR families-Families referred by DHS
INTAKE REQUIREMENTS FRC Common Demographics & Screening*
ETO DATA ENTRY Individual/Fam levelDemographics/screening results
FOLLOW UP Required within 30-90 days
ETO DATA ENTRY AT FOLLOW UP -CFSA 2.0 Follow-ups-Participant Survey after each CFSA
What is Implementation?
• A specified set of activities designed to put into practice an activity or program of known dimensions (Fixsen et al. 2005)
• The science, practice, and policy of getting science into practice and policy (GIC 2011)
The Implementation Group: Progress & Possibilities November 20, 2013
What is Implementation Science?
• The study of the process of implementing evidence-based programs and practices
• Implementation is NOT the validation of programs or practices
• Effective implementation bridges the gap between science and practice by helping to ensure that EBP’s validated in the “laboratory” produce similar outcomes in the “real world”
The Implementation Group: Progress & Possibilities November 20, 2013
Stages of Implementation
Implementation occurs in (additive) stages:
• Exploration• Installation
2-4 years
• Initial Implementation• Full Implementation• Innovation and Sustainability:
ongoingThe Implementation Group: Progress & Possibilities November 20, 2013
Why Do We Need an Implementation Focus?
• Implementation is not an event, it is a mission-oriented process involving multiple decisions, actions, and corrections
• Everything interacts with everything else• Chaos, complexity, & cybernetic
theories hardly do justice to human services
• Implementation Teams support quality implementation in the “real world”
The Implementation Group: Progress & Possibilities November 20, 2013
Implementation Drivers
• Common features of successful supports to help make full and effective use of a wide variety of innovations– Build Competency and Confidence• Develop, improve, and sustain competent &
confident use of innovations
– Change Organizations and Systems• Create and sustain hospitable organizational
and system environments for effective services
The Implementation Group: Progress & Possibilities November 20, 2013
Family Development Workgroup
Strategic Direction: To inform the development of processes and protocols to support implementation of the Family Development Service with fidelity and to inform strategies to further validate the FRC Family Development service model
Implementation Team
Adaptive Technical
Leadership
Com
pete
ncy D
river
s Organization DriversPerformance
Assessment (Fidelity)
Improved Outcomes [Children, Families]
Implementation Outcomes =
Provider Outcomes
Evidence-Based Practices [Quality, Sustainability]
Foundations: Systems Building
Strategies for Action
Coaching
Training
Selection
Systems Intervention
Facilitative Administration
Decision Support Data System
COACHING IMPACTJoyce & Showers
2002OUTCOMES
% of Participants who Demonstrate Knowledge, Demonstrate New Skills in a Training Setting, and Use new skills in the field
TRAINING COMPONENTS
Knowledge Skill Demonstration Use in the Field
Theory & Discussion
10% 5% 0%
Demonstration in Training
30% 20% 0%
Practice & Feedback in Training
60% 60% 5%
On-site Coaching 95% 95% 95%
The Implementation Group: Progress & Possibilities November 20, 2013
Why Implementation?
• We face the practical issues associated with implementation in practice and know the complexities involved.
Effective Interventions X Effective Implementation X Enabling Contexts
= Socially Significant ImpactsThe Implementation Group: Progress & Possibilities November 20, 2013
CHANGE
“Any change, even change for the better, is always accompanied by drawbacks and discomforts”
--- Arnold BennettBritish novelist, playwright, critic, and essayist
Questions
How Are You Funding Family Development?
Targeted Family Development Universal Family Development
Ideas on How to Fund Universal Family Development
Targeted Family Development
Recommended