Joe Lopez, M.A. Shahrukh Chishty, M.S. Our Secret Sauce to Permanency and Wellbeing: Integrating the Child and Adolescent Needs and Strengths (CANS) Assessment

Joe Lopez, M.A. Shahrukh Chishty, M.S.

Our Secret Sauce to Permanency and Wellbeing: Integrating the Child and Adolescent Needs and

Strengths (CANS) Assessment and the 3-5-7 Model© of Grief and Loss into a Treatment Foster Care Program

WHO ARE THE SPECIAL PEOPLE IN YOUR LIFE?

Process of Integration

3-5-7 Model

CANS

Treatment Plan

Outcomes

Barriers

Next Steps

Today’s Objectives

Why did we start our search?

Answer:• Multiple Plans.• Not Reaching Youth.• Frustrated Families.• Random Goals.• Why we got into this work.

Question:What are the

barriers to change?

MoraleTime

Resource Money Crisis

Agendas

Question: What is the “Secret Sauce”?

Answer:The Buy-In

Question: Who needs to Buy-In?

Answer:• Child• Biological Family• Foster/Adoptive/Kin Family• County• Therapist• School• CASA• Attorney• Supervisors• Managers

OURPROCESS OF INTEGRATION

Future OutcomesImplementIntegrate

Child and Adolescent Needs and Strengths

(CANS)

3-5-7 Model of Grief and

Loss

Overview of Timeline

2012 2013Jul Sep Nov 2013 Mar May Jul

SUPERVISORSattend 2 – Day 3-5-7 Model © Intensive Training by Darla Henry

10/12CANS Aldea sends staff to CANS Trainers Training conducted by Dr. Lyons11/12

COMMUNITY 3-5-7 Model© trainings for Foster/Adoptive/Kin Parents, County, Attorney, CASA, etc.4/13

INTRODUCTION3-5-7 Model© at FFTA Conference in Atlanta

7/12

STAFF attend 3-5-7 Model © Training by Darla Henry

10/12

WEEKLY 3-5-7 Model© staff trainings: staff do 3-5-7 activities

2/13

AGENCYCANS Training: All agency trained in CANS

5/13

PARENTSFoster Parent University: Mandatory 3-5-7 Model© training for all current foster/adoptive/kin parents

7/13

3-5-7 MODEL© OF GRIEF AND LOSS

3-5-7 MODEL ©

Evidence-informed relational practice approach that supports the work of children, youth, and

their families.

◦ To grieve losses resulting from their traumas. ◦ To rebuild relationships established in the perception

of safety.◦ To empower individuals.

Copyright 2014 by Darla L. Henry & Associates. Inc. All rights reserved. No part of this presentation may be reproduced or transmitted in any form or by any means, electronic, mechanical, photo copying, recording or

otherwise, without prior written permission of Darla L. Henry & Associates, Inc.

3-5-7 MODEL ©

3 TASKS: to frame engagement strategies to support the work of children, youth, and families.

5 QUESTIONS: conceptual questions to support the work of the 3 tasks and address the issues related to relationship and family traumas.

7 SKILLS: are the abilities, knowledge, and philosophical perspectives of professionals and caregivers who work with children, youth and families.

Copyright 2014 by Darla L. Henry & Associates. Inc. All rights reserved. No part of this presentation may be

reproduced or transmitted in any form or by any means, electronic, mechanical, photo copying, recording or


TASKS CLARIFICATION:

Events of one’s life are explored through activities, listening, support, and conversation.

INTEGRATION: Relationships are identified and recognized

for their ongoing place in one’s life. Meaning is given to each important relationship.

ACTUALIZATION: Permanency in relationship(s) is visualized

based on perceptions of safety and belongingness. Copyright 2014 by Darla L. Henry & Associates. Inc. All

rights reserved. No part of this presentation may be reproduced or transmitted in any form or by any means,

electronic, mechanical, photo copying, recording or otherwise, without prior written permission of Darla L. Henry

& Associates, Inc.

Conceptual Questions• Who Am I?………………………Identity

• What Happened To Me?………Loss

• Where Am I Going?……………Attachment

• How Will I Get There?………….Relationships

• When Will I Know I belong?......Permanency /

Safety / BelongingCopyright 2014 by Darla L. Henry & Associates. Inc. All rights reserved. No part of this presentation may be reproduced or transmitted in any form or by any means, electronic, mechanical, photo

copying, recording or otherwise, without prior written permission of Darla L. Henry & Associates, Inc.

Skills ENGAGING individuals & families in their work. LISTENING to the stories & life experiences of

individuals. BEING PRESENT & BRIEFLY SPEAKING in

response to stories, questions, comments, reactions of child/youth/families.

AFFIRMING current perspectives of their Life Stories.

Establishing the perception of SAFETY through

authentic listening, physical location and continuity of time spent with

child/youth/family. EXPLORING past life events in present time

building on strengths. RECOGNIZING and ACCEPTING that current

BEHAVIORS reflect GRIEF RESPONSES from past traumas.




OUTCOMES

To give opportunities for expression of feelings/thoughts.

To honor past life events and relationships. To explore answers to all questions. To establish supportive permanent

connection(s). To encourage growth for a future life view.




COACHING & CONSULTATIONAvoiding “practice drift”

Review of situations in the context of 3-5-7 Model© concepts.

Establish parallel process of staff/caregiver experience with individual experience.

Provide resources for information and practice knowledge.

Ensure continuity of communications between team members.





SUPERVISORSattend 2 – Day 3-5-7 Model© Intensive Training by Darla Henry


COMMUNITY 3-5-7 Model© trainings for Foster/Adoptive/Kin Parents, County and Community 4/13


7/12

STAFF attend 3-5-7 Model© Training by Darla Henry

10/12

WEEKLY 3-5-7 Model© staff trainings: staff do 3-5-7 activities

2/13


5/13


7/13

CHILD AND ADOLECENT NEEDS AND STRENGTH(CANS) TOOL

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What does it all mean?


SUPERVISORSattend 2 – Day 3-5-7 Model© Intensive Training by Darla Henry


COMMUNITY 3-5-7 Model© trainings for Foster/Adoptive/Kin Parents, County and Community 4/13


7/12

STAFF attend 3-5-7 Model© Training by Darla Henry

10/12

WEEKLY 3-5-7 Model staff trainings: staff do 3-5-7 Model© activities

2/13


5/13


7/13

2013 2013Jul Aug Sep Oct Nov Dec

TEAM3-5-7 Model Meetings: informational meeting for county/bio parents/team members prior to starting 3-5-7 Model© services with specific youth8/13

RESEARCHCANS database acquired: Children’s Outcomes Management Center (COMC)10/13

POINT OF INTEGRATIONTreatment Plan created actively using CANS and 3-5-7 Model©12/13

PROGRAM3-5-7 Model© Criteria Created: 3 tracks – Regular, ITFC, Adoption

7/13

BEHAVIORAL TEAMIntensive Treatment Foster Care utilize 3-5-7 Model©

8/13

CERTIFICATIONTraining: 1-day of mandatory 3-5-7 Model© training

9/13CANS MODULE 3-5-7 Model© Module Created

12/13

Database

CANS Database: Children’s Outcomes Management Center (COMC)◦ http://www.comc.ametrics.org/

Improves the quality of treatment for children and adolescents through outcomes evaluation.

Integrates outcomes evaluation into clinical and administrative decision-making.

Enables Aldea to understand and apply an evidence based approach to goal attainment and quality improvement.

http://www.comc.ametrics.org/


TEAM3-5-7 Model© Meetings: informational meeting for county/bio parents/team members prior to starting 3-5-7 Model© services with specific youth8/13




7/13


8/13


9/13CANS MODULE 3-5-7 Model© Module Created

12/13

TREATMENT PLAN:Our Point of Integration

Intake Procedures

24-hour visit

30-day CANS

assessment &

database website

Needs and Service

Plan including

CANS goals

Quarterly Reports

including CANS goals

update

Treatment Process

Plan Reviewed By: Youth, Foster Parent, Staff, County, Attorney

6-month CANS

6-month Reports

including CANS goals

update

Annual CANS

Discharge CANS Outcomes

Treatment Process

Plan Reviewed By: Youth, Foster Parent, Staff, County, Attorney

33

Treatment Plan using CANS & 3-5-7 Model©

CANS Scores. Clinical Social Worker’s (CSW) conversation with

youth and family. Behavioral Support Counselor’s (BSC)

conversation with youth and family. Bi-Monthly Meetings between CSW and BSC. Meetings with youth and family’s team (including

county, attorney, therapist, CASA, etc.). Discussion in individual and group supervision.

Where do these Goals come from?

Clinical Social Worker & Behavioral Support Counselor

Bi-Weekly Meetings

Treatment Plan Example


COMMUNITY3-5-7 Model© trainings for Foster/Adoptive/Kin Parents, County and Community 8/13

TEAM3-5-7 Model© Meetings: informational meeting for county/bio parents/team members prior to starting 3-5-7 services with specific youth8/13




7/13


8/13


9/13

CANS MODULE 3-5-7 Model© Module Created

12/13

3-5-7 Model© Module

2014 2015Mar May Jul Sep Nov 2015 Mar May Jul

COMMUNITYSolano County Annual Training Conference 3/14

EXPANSIONImplement 3-5-7 Model© services with non-ITFC youth8/14

FUTURECANS Trainers Training with Dr. Lyons: Aldea’s treatment plan is discussed 10/14

QUALITYCANS Steering Committee: Created to ensure the effective use of CANS within the agency 3/15

UNITEDDarla Henry training parents, county, community members and stakeholders

4/14

CANS and 3-5-7 treatment plan implemented

9/14

FIDELITY3-5-7 Model© Monthly Consultations (6-months)

1/15FFTA Conference Presentation

7/15

Supervisors

StaffParents

County

AttorneyCASA

AgencyYouth

Making the Sauce

FUTURE OUTCOMES

KNOWN TRENDS

Ability to build relations. More ready to participate in therapy. Clinical social workers feel better equipped and

motivated to engage youth. Biological families active and willing to

participate in 3-5-7 Model© activities by providing history and filling in the gaps.

County is requesting this service for their youth. Youth are more willing to address feelings with

their family.

KNOWN TRENDS

Intensive Treatment Foster Care => Stable Placement => Permanency.

Stability and Improvement in CANS scores reflecting improvement in overall wellbeing.

Youth take a more active role in their case plan. Decreased altercations in school. Increase in foster parents ability to empathize,

understand, and address behaviors. Foster parents’ increased participation with goal

setting.

BARRIERS

Barriers

Length of client stay. Readiness of client Resources/funding. Community knowledge. Lack of history. Therapy versus therapeutic. Unable to truly have one CANS.

NEXT STEPS

2015 2015

Today

Sep Oct Nov

EVALUATIONAgency Performance Management Study9/15

FUTURE OF TREATMENTIntegrated Services: Primary Care and Behavioral Health with Treatment Foster Care11/15

Future Plans:3-5-7 Model Collaboration_________________________________________________________________________________

Questions or Comments

Documents

Joe Lopez, M.A. Shahrukh Chishty, M.S. Our Secret Sauce to Permanency and Wellbeing: Integrating the Child and Adolescent Needs and Strengths (CANS) Assessment