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Continuous changing of “best” practices Various mandates from funders Unstable Funding Low wages & resources No data feedback loops Competition/tension between providers
Historical Context
Real world, front-line practice experience Unique ways of knowing Unique ways of doing Reputation Large data collectors Sitting on buried treasure (data)
Community Capital
Knowledge development Science & rigor Resources – researchers, students, etc Connections and reputation (WashU)
Academic Capital
Shared resources Equal partners Develop our own knowledge – what works in real
world practice Directed by science Directed by success Cannot rely on money Teaching & learning Change the narrative & system
Our Values
Partnership leaders Workers Students Community/Clients Policy makers Professional organizations University
Stakeholders
Develop and sustain partnership Teaching & Learning Services Evaluation Bringing science to services
Our Goals
Teaching Learning
CAPA Training Institute
Develop/enhance supervision structures
Targeted training and development+
Annual Conference+
Academic teaching Community teaching Student research
projects Field placement
coordination+
Regular worker surveys (REDCap) Web-based email surveys Stored in secured (HIPPA) system
Data/outcomes analysis (REDCap) Upload services data
Dashboard
Services Evaluation
Caseload Demographics (age, race, gender, diagnosis, TX
history) Progress (In program, self-help, TX plan, etc)
Retention Who is leaving (demographics) When (targeted interventions)
Profiles of success
Dashboard Info“real time” feedback
Who does best in which kinds of services? Can Science improve outcomes for
everyone? Does 100% fidelity to MI/CBT/TSF impact
outcomes? Can data feedback (Dashboard) improve
outcomes? What are the best kinds of
treatments/services?
CAPA answering questions
What are the best prevention services? How are interventions best implemented? Which activities/services need to increase –
which need to stop? How can programs increase retention? Which are the best brief interventions –
how are they best implemented?
CAPA answering questions
CAPA informs funders about what is best CAPA informs community & academics CAPA determines which services are best and how
to best implement them CAPA creates score card of scientific services CAPA collaborates with others to implement its
model CAPA provides annual conference – September
2014 (Recovery Month)
How CAPA can change the narrative & system