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