11th Annual TCOM/CANS Conference

Seattle, Washington
Wednesday, November 04, 2015
Select registrant type:
Registration Fee
Topical Interest Group  

CANS: A Meaningful Intervention in Title IV-E Waiver State.
Leads: Ann Stanley, Krista Thomas and Jennifer O’Brien   (details)

CANS: A Meaningful Intervention in Title IV-E Waiver State.
Leads: Ann Stanley, Krista Thomas and Jennifer O’Brien
This meeting will be a series of presentations and a discussions of jurisdictions that are using the CANS within current Title IV-E Waivers. IV-E Waiver session participants are invited to attend a private reception from 4:30pm-6:30pm at Frolik Kitchen, located inside the Motif Hotel.

Add to calendarWednesday, November 04, 2015 1:00 PM - 4:00 PM (Pacific Time)
Location: Emerald 2

Training
Leads:   Robin Orlando, Alicia Eicher & Heather Boyd
 (details)
Training
Leads:   Robin Orlando, Alicia Eicher & Heather Boyd
This meeting with be for certified trainers who want to build skills or for people participating in the certified trainer program during the conference

Add to calendarWednesday, November 04, 2015 1:00 PM - 4:00 PM (Pacific Time)
Location: Emerald 3

Family
Leads:  Richard Epstein & Tim Kelly 
 (details)
Family 
Leads:  Richard Epstein & Tim Kelly 
This meeting with be a series of presentations and a discussion about the current uses
Of the FAST for various applications

Add to calendarWednesday, November 04, 2015 1:00 PM - 4:00 PM (Pacific Time)
Location: Seattle Ballroom 1

Commercially Sexually Exploited Minors
Melissa H. Johnson, Monica Landers, Danna Basson & April Fernando  (details)
Commercially Sexually Exploited Minors
Leads:   Melissa H. Johnson, Monica Landers, Danna Basson &  April Fernando
This meeting will be a series of presentations and a discussion about working with this very high need population

Add to calendarWednesday, November 04, 2015 1:00 PM - 4:00 PM (Pacific Time)
Location: Capitol Hill

Early Development
Leads:  Stephanie Romney & Lise Bisnaire

 (details)
Early Development
Leads:  Stephanie Romney & Lise Bisnaire
This meeting will discuss the applications of the CANS with early development and children with developmental challenges

Add to calendarWednesday, November 04, 2015 1:00 PM - 4:00 PM (Pacific Time)
Location: Seattle Ballroom 2

Adults and Older Adults
Leads:   Betty Walton & John Lyons
 (details)
Adults and Older Adults
Leads:   Betty Walton & John Lyons
This meeting will discuss the applications of the TCOM ANSA to adults and older adults.

Add to calendarWednesday, November 04, 2015 1:00 PM - 4:00 PM (Pacific Time)
Location: Emerald 1

Breskout Session 1  

1A. Incorporating CANS within large scale program monitoring and evaluation across the Children’s System of Care: Trying to balancing one child with the demand for aggregate information.
 Tim Hougen, Ph.D   (details)
1A. Incorporating CANS within large scale program monitoring and evaluation across the Children’s System of Care:  Trying to balancing one child with the demand for aggregate information. 
Tim Hougen, Ph.D 


This session will provide an annual program review structure utilized for Children’s System of Care programs that incorporates the CANS to aide in program evaluation. The structure allows for the consolidation of programs, a more focused review of a particular programs, and a means to emphasize individual children’s needs while providing aggregate information. The presentation will include information on the creation of feedback loops regarding CANS data to aide in both the clinical processes and program management, including the integration of individual CANS within supervision and aggregate CANS data within program meetings Additionally, some means of identifying inaccurate scorings of TCOM tools will be reviewed and examples of how these were addressed will be provided. 





  

Add to calendarThursday, November 05, 2015 1:30 PM - 3:00 PM (Pacific Time)
Location: Emerald 2

1B. I. Use of CANS data to screen for psychosis risk at a large Children’s behavioral health agency. Mary Nichols / II. Adolescents behavioral and emotional functioning post-discharge from residential treatment. Tamaki Hosoda, M.A.
(You will need to attend both workshops I & II to get credit for this session.)  (details)
1B. I. Use of CANS data to screen for psychosis risk at a large Children’s behavioral health agency. Mary Nichols / II. Adolescents behavioral and emotional functioning post-discharge from residential treatment. Tamaki Hosoda, M.A.
(You will need to attend both workshops I & II to get credit for this session.)

I. Astor Services for Children & Families, A large multi-site behavioral health agency that provides services to an ethnically diverse population of children and youth, has been using the CANS since 2003, agency-wide use established by 2005. We regularly collect CANS data for program evaluation and quality improvement purposes and there is a growing interest at Astor in finding innovative ways to use data to drive clinical decision making. In this small grant-funded pilot study, we explored using the agency’s CANS database to create an algorithm for identifying youth at risk for psychosis. A screening protocol was developed and implemented using CANS items that were chosen based on their similarities to the risk factors shown in the research to predict conversion to full psychotic disorders. Selected youth identified at risk were then referred for a more comprehensive diagnostic evaluation, and families and treatment providers participated in a collaborative consultation and technical assistance protocol based on the evaluation findings. We then collected followed up out comes data using the CANS over a one year period. This presentation will cover the use of CANS data in this project for individual clients-level decision making and outcomes evaluations.


II. We present our preliminary empirical research on residential treatment using the CANS measure. In child welfare system, emotional and behavioral problems of youth in residential treatment are critical issues that must be addressed to ensure their well-being even after discharge. Knowing factors that can predict their outcomes in the long term could help care providers with their decision-making processes concerning adolescents’ living arrangements in order to ensure that marginalized youth receive the appropriate support that they need to thrive. In our study, we focused on the strengths of adolescents discharged from residential treatment as protective factors of future functioning. Our data contained 185 adolescents ages 15-18 who were in the Illinois child welfare system. Using CANS, we examined how youth strengths could predict their functioning six months after discharge. The findings show that strengths in educational setting (i.e., educational support, academic skills), specifically a positive transition to school settings post-discharge, were related to better emotional and behavioral outcomes. In the presentation, we will discuss the limitations of our study as well as future directions of research.
Add to calendarThursday, November 05, 2015 1:30 PM - 3:00 PM (Pacific Time)
Location: Seattle Ballroom 3

1C. A little more action please: Worker satisfaction in purposeful visitation.
 Tanya Albornoz, SSW & Kyla Openshaw, SSW  (details)
1C. A little more action please:  Worker satisfaction in purposeful visitation. 
Tanya Albornoz, SSW & Kyla Openshaw, SSW 


Our presentation will focus on Utah’s ongoing integration of the Utah Family and Children Engagement Tool (UFACET) our CANS/FAST based assessment in child welfare.  We will discuss the success UFACET has seen as part of Utah’s Title IV-E waiver demonstration and how this has led to UFACET use being expanded across all case types.  We will discuss the use of The Center for the Study of Social Policy’s 5 Protective Factors and how the additions of these helps provide direction for our child welfare workers to increase purposeful visitation and case planning. We will demonstrate how the UFACET tools link to our caseworker website and share caseworker experiences in using UFACET.

Add to calendarThursday, November 05, 2015 1:30 PM - 3:00 PM (Pacific Time)
Location: Emerald 3

1D. Micro Implementation of the CANS, Challenges to TCOM and Lessons learned in Oregon.
Stephanie East, M.S., John Pavlack, B.A. & Angela Leet, M.A.   (details)
1D. Micro Implementation of the CANS, Challenges to TCOM and Lessons learned in Oregon. 
Stephanie East, M.S., John Pavlack, B.A. & Angela Leet, M.A. 


 In 2009 The State of Oregon adopted the Child and Adolescent Needs and Strengths Assessment (CANS) for use as a tool to better identify the needs and strengths of children in foster care for case planning and supervision, as well as determining reimbursement rates for youth in foster care.  As Oregon has expanded Wraparound, CANS is strongly encouraged as the preferred assessment and planning tool. The unintended consequence of this micro-implementation was practice level dissonance for youth enrolled simultaneously in foster care and mental health services.  
Oregon is deeply committed to practice and system level reforms aimed at improving outcomes for youth and families through alignment of its child and family serving system partners.  Efforts at developing strong Systems of Care have highlighted the need to expand the scope and understanding of the CANS to avoid creating barriers for youth and families, however well intended the CANS implementation has been to date.

This presentation will highlight the history and challenges of CANS implementation in Oregon, and will focus on the strategic efforts to expand the scope of CANS utilization in the state.  We will show that despite the challenges, the outcome has been increased collaboration between Department of Human Services, child welfare, the Oregon behavioral health system, and Wraparound towards system transformation informed by the CANS.

Add to calendarThursday, November 05, 2015 1:30 PM - 3:00 PM (Pacific Time)
Location: Seattle Ballroom 1

1E. I. Communimetrics and CQI. Stephen Shimshock, Ph.D, Yakiciwey Mitchell, MSW, Amy Edwards, LMSW & Michael Martinez, MSSW /II. Using the CANS to differential youth who exit care and how that information can be used to tailor services for youth. Yvonne Humenay Roberts, Ph.D; Catherine Roller White, M.A., Kirk O’Brien, Ph.D. Stephen Shimshock,Ph.D.  
(You will need to attend both workshops I & II to get credit for this session.)  (details)
1E. I. Communimetrics and CQI. Stephen Shimshock, Ph.D, Yakiciwey Mitchell, MSW, Amy Edwards, LMSW & Michael Martinez, MSSW \ II. Using the CANS to differential youth who exit care and how that information can be used to tailor services for youth. Yvonne Humenay Roberts, Ph.D; Catherine Roller White, M.A., Kirk O’Brien, Ph.D.  Stephen Shimshock, Ph.D. 
(You will need to attend both workshops I & II to get credit for this session.)
 
I.Casey Family Programs will present a case-study on using CANS data, along with other data, as a part of their CQI process. The Los Angeles Field Office is currently engaged in building a strong CQI process in an effort to connect their day-to-day practice to their outcomes. Social workers and supervisor analyze current and closed cases to identify opportunities for improvement.  They use CANS and other data sources to build their baselines, set their targets and monitor progress. During the session, attendees will:
• Learn how Casey is implementing CQI.
• Learn how they use CANS data to explore cases for improvement opportunities.
• See some of the ways the LA office combines CANS data with “case story” data to reveal deeper improvement insight.
• See how the LA offices uses CANS and case story data to monitor progress and outcomes.

II. With the implementation of the CANS in different jurisdictions across the country comes an increasing interest in how to use CANS data to help guide services for youth and families. The ability to match services and intervention needs is contingent on the ability to accurate identify how various characteristics may work together and to impact outcomes for youth in care.
We propose using the CANS assessment in conjunction with youth characteristics and other risk factors to identify different subgroups of youth who have exited the foster care system. 
• What are the predominant characteristics (including CANS needs and strengths) that describe youth subgroups? 
• How do characteristics differ for youth who exit to permanency, those that exit for other reasons, and those that age out? 
• How can services be tailored to these identified characteristics? 

To answer these questions we will include data on youth served in out-of-home care. Data were collected on youth who were served by a private agency in 2015.



Add to calendarThursday, November 05, 2015 1:30 PM - 3:00 PM (Pacific Time)
Location: Capitol Hill

1F. Community Roundtable. Using data to support practice improvement.
Daniel Noam Warner, Ph.D & Amanda S. Hope , MPA, CVA  (details)
1F. Community Roundtable.  Using data to support practice improvement 
Daniel Noam Warner, Ph.D & Amanda S. Hope , MPA, CVA


Community Data Roundtable is a Pennsylvania-based non-profit organization implementing a CANS driven behavioral health system for children. CDR brings together managed care, providers, government entities and consumers to implement a collaboratively beneficial data driven system. Towards this end, CDR has developed a CANS designed for the local community needs, algorithms relevant for decision support in the local system of care, and metrics necessary for sorting according to the expectation of local regulatory needs. This presentation will (a) review the background of Pennsylvania child serving behavioral health system and the role CDR fills with its online CANS tool, (b) detail the Evidence –Based Service Match (EBSM) algorithms CDR has implemented in the system for such program as Multi-Systemic Therapy, Functional Family Therapy, Incredible Years, Parent-Child Interaction Therapy and other relevant programs, and (c) explain the math and communimetric logic behind CDR devised Metircs such as the “Severity Score” and “Domain Percentiles”. The presentation will also review the outcomes of the project in regards to improving referral systems to evidence-based programs, as well as tracking and improving outcomes in treatment-as-usual options in the Pennsylvania systems. 

Add to calendarThursday, November 05, 2015 1:30 PM - 3:00 PM (Pacific Time)
Location: Seattle Ballroom 2

1G. Bridging Practice and Processes through Technology: Casey Familys’ Integration of the CANS and FAST into an Electronic Case Management System.
 Tina Stern, MSW & Richard Saunders, B.A. & Kurt Reno, B.S.  (details)
1G. Bridging Practice and Processes through Technology:  Casey Familys’ Integration of the CANS and FAST into an Electronic Case Management System. 
Tina Stern, MSW & Richard Saunders, B.A. & Kurt Reno, B.S. 


Implementing evidence based assessments, as part of an overall continuous improvement strategy, is only one piece of the puzzle in a results-based practice model. Building supporting processes and technology systems is crucial for ultimate success with CANS and FAST. Casey Family Programs, in collaboration with Exponent Partners, will present a real-life case study of how they’ve integrated these assessments into their case management system and give a hands-on demo of how they use technology to drive their practice model.


During the session, attendees will:
• Get an overview of how Casey sees technology reinforcing their practice model
• Learn about Casey’s requirements for their technology solution and the key aspects of the platform that have enabled accuracy, efficiency, and quality data
• See a step-by-step demo of CANS and FAST in Casey’s case management solution as the staff actually use the system, focusing on workflow and automation
• Discuss best practices and lessons learned of a complex, multi-state system implementation 
• Understand how Casey plans to evolve the system in the future.

Add to calendarThursday, November 05, 2015 1:30 PM - 3:00 PM (Pacific Time)
Location: Emerald 1

Breakout Session 2  

2A. Implementing the CANS/FAST—Casey’s Practice Based Experience
Tina Stern, MSW, Ada Lopez, MSW & Vanessa Carrillo, MSW  (details)
2A. Implementing the CANS/FAST—Casey’s Practice Based Experience
Tina Stern, MSW, Ada Lopez, MSW, Vanessa Carrillo, MSW.


This workshop will provide an overview and insights from a frontline’s perspective into Casey Family Program’s rollout and use of the CANS/FAST as part of their broader practice model implementation. Direct services staff from the San Antonio Field Office will share their experiences, including successes and challenges, in integrating a number of different practice tools and techniques with the CANS/FAST as Casey’s functional assessments for youth and families. Particular focus will be given to how the CANS/FAST is enhancing individual practice and case-based supervision to achieve outcomes. In addition, user experiences in how the CANS/FAST has been integrated in Casey’s electronic case management system will also be shared. Lastly, Casey incorporation of CANS/FAST concepts into its quality monitoring and improvement tools will also be discussed and how the case review process is impacting day-to-day practice. 


This workshop is ideal for workers, supervisors and administrators wanting to learn more about a provider organization’s own implementation experiences and how the CANS/FAST is impacting the day-to-day work of child welfare practice with youth and families. 

Add to calendarThursday, November 05, 2015 3:15 PM - 4:45 PM (Pacific Time)
Location: Emerald 2

2B. Integrating the CANS and the Incredible Years.
Carolyn Webster-Stratton & Stephanie Romney  (details)
Integrating the CANS and the Incredible Years
Carolyn Webster-Stratton & Stephanie Romney 

The Incredible Years® (IY) training programs are a series of complementary evidence-based programs intended to promote child social, emotional, and academic competence and reduce child behavior problems.  This workshop will provide strategies for using the CANS 0-5 in conjunction with IY parent programs to support good outcomes for families and more efficient system processes.   It will begin with a brief overview of IY and the fit of its values, methods and processes with those of the CANS.  The discussion will then focus on identifying a core set of CANS items expected to be most sensitive to change from an IY parent program and how to use this set of items for important system processes, such as screening and referral, outcomes monitoring, and continuous quality improvement efforts.

Add to calendarThursday, November 05, 2015 3:15 PM - 4:45 PM (Pacific Time)
Location: Seattle Ballroom 3

2C. Trauma-informed care in San Francisco.
Mark Nickell, M.Div, & Leticia Galyean, M.S.W.  (details)
2C. Trauma-informed care in San Francisco 
Mark Nickell, M.Div, &  Leticia Galyean, M.S.W.


The City and County of San Francisco has made great strides in the implementation of a trauma-informed system of care through inter-agency collaboration with community-based organizations. While this strong commitment has led to system change at the county, organizational, program, and clinician level, little evidence has previously been available to demonstrate the impact of trauma-informed treatment modalities with San Francisco County’s unique client population (largely placed out of the home and out of city/county). With its recent data analysis and evaluation processes, Seneca Family of Agencies has been able to utilize CANS trauma domain Items to demonstrate statistically significant reductions in the presentation of trauma-related symptoms and the impact of trauma. In this workshop, attendees will hear from both San Francisco’s Department of Public Health and one if its partner organizations-Seneca Family of Agencies-about the way in which these joint efforts can enhance service provision, and how the CANS data available at intake, reassessment, and discharge has helped shape and drive the performance improvement efforts related to trauma-informed in San Francisco

Add to calendarThursday, November 05, 2015 3:15 PM - 4:45 PM (Pacific Time)
Location: Emerald 3

2D. Creating Meaning: Developing Reports and supporting the use of CANS and ANSA Information.
Betty Walton, Ph.D, LCSW & Erin Quiring, M.A, MPA.  (details)
2D. Creating Meaning:  Developing Reports and supporting the use of CANS and ANSA Information. 
Betty Walton, Ph.D, LCSW & Erin Quiring, M.A, MPA.  


Timely access to ANSA and CANS information supports the meaningful use of communimetric tools. Although many jurisdictions have successfully created the infrastructure to collect rating information, many lack the capacity to report information. One state’s story illustrates how this challenge can be overcome. A participatory process addressed development, dissemination and implementation challenges. Similar information became the basis for reports to inform clinicians and case workers, supervisors, program managers, quality improvements teams, agency executive, and state systems. 


Informed by the TCOM Report Suite (Israel, 2015), reports and outcome measures were reviewed, enhanced, or modified. A new simple report of actionable needs and identified or usable strengths provides a summary to help engage adults, youth and families in assessing and planning services. An updates “Individual Outcome Report” reflects change over time (getting better, resolving and identifying new problems). New aggregate measures focus on resolving problem and building strengths. Revisions in outcome performance measures built upon these reports. We will use ANSA and CANS data to illustrate newly developed reports. Implementation challenges and solutions related to dissemination and meaningful use of developed reports will be discussed with workshop participants including the incorporation of CANS and ANSA data into the statewide quality improvement plan.  

Add to calendarThursday, November 05, 2015 3:15 PM - 4:45 PM (Pacific Time)
Location: Seattle Ballroom 1

2E. Using CANS as a platform for improving services to children with serious emotional disturbances and their families in Washington State.
 Kathy Smith-DiJulio, Ph.D., Greg Endler, M.A. & Nathaniel Israel, Ph.D.  (details)
2E. Using CANS as a platform for improving services to children with serious emotional disturbances and their families in Washington State.
Kathy Smith-DiJulio, Ph.D., Greg Endler, M.A. & Nathaniel Israel, Ph.D.


 The state of Washington has embarked on a planned change effort to insure that children and youth receive high quality, effective and coordinated services for their behavioral health needs. Guiding this effort is the use of TCOM as the system’s Quality Improvement framework. This discussion describes the activities used to progressively move the system towards full implementation of the TCOM approach. In particular, we focus on how TCOM can be used to identify system strengths and needs in the areas of Access, Engagement, Service Appropriateness, Service Effectiveness, and Linkages, and then to act to improve quality where most appropriate. We will describe the information and reporting infrastructure developed to support the change effort, the policy and communication processes put in place to facilitate alignment in planning and action, and the training strategies used to disseminate the planned change. Lessons learned from the first year of the implementation, as well as next steps in the implementation process, will be discussed.   



Add to calendarThursday, November 05, 2015 3:15 PM - 4:45 PM (Pacific Time)
Location: Capitol Hill

2F. Integrating Outcomes into a School-Based Day Treatment: One STEP At a time.
Stephanie Greenham, PhD, Lindsay Lavictoire, MSc, & Dhiraj Aggarwal, MD Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada  (details)
2F.  Integrating Outcomes into a School-Based Day Treatment: One STEP At a time. 
Stephanie Greenham, PhD, Lindsay Lavictoire, MSc, & Dhiraj Aggarwal, MD
Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada


Children and youth with complex educational, behavioural, and mental health needs who have difficulty being successful in their community school setting can be referred to one of several day treatment programs at the Children’s Hospital of Eastern Ontario. The implementation of a TCOM framework to the delivery of these school-based day treatment programs will be described, using the Steps to Success program as an illustrative example of how standardized assessments guide treatment planning at the individual and classroom level, how feedback is provided to classroom and program providers, and how outcomes and program effectiveness are evaluated. The development of the CANS-Day Treatment will be described. The CANS-DT incorporates elements of the CANS-MH (Acute) with pathway needs from a Collaborative Problem Solving framework. The challenges and successes of a TCOM approach to day treatment will be discussed.

Add to calendarThursday, November 05, 2015 3:15 PM - 4:45 PM (Pacific Time)
Location: Seattle Ballroom 2

2G. Using CANS data to inform practice, guide implementation and promote innovation.
Marg Cox, B.S.W. & Michelle Wolfe Miscio, M.S.W  (details)
2G. Using CANS data to inform practice, guide implementation and promote innovation. 
Marg Cox, B.S.W.  & Michelle Wolfe Miscio, M.S.W 


Our inaugural review of agency CANS data with Dr. John Lyons reinforced our anecdotal experience and belief that as an agency we needed to do better to address the lack of desired outcomes for young people with Executive Functioning needs.   Based on this assessment, we piloted an innovative intervention – showing promising results- Integra Mindfulness Martial Arts (MMA).  MMA was developed specifically for young people with learning disabilities and mental health needs.  It combines CBT, Mindfulness, Yoga and Martial Arts.  Utilizing cross-sectoral staffing -a teacher and a mental health worker-staff were trained and coached in the implementation of this program in a school environment. The success of the implementation has been documented through CANS and other tools and has led to it being integrated into a credit course – Learning Strategies.  Further analysis three years after our initial review has led to the decision to expand the program – cross-sectorally across several schools in the district with the goal of wide-spread implementation.  

Add to calendarThursday, November 05, 2015 3:15 PM - 4:45 PM (Pacific Time)
Location: Emerald 1

Friday, November 6, 2015  

Breakout Session 3  

3A. Use of CANS in collaborative treatment planning.
 Jennifer Cardenas, M.S.W., L.C.S.W. & Leticia Galyean, M.S.W., L.C.S.W. (0 remaining)  (details)
3A. Use of CANS in collaborative treatment planning. 
Jennifer Cardenas, M.S.W., L.C.S.W.  & Leticia Galyean, M.S.W., L.C.S.W.  


The CANS assessment is a collaborative assessment tool that can and should inform treatment planning in powerful ways. CANS items scored as ‘actionable’ provide a clear picture of areas where providers should focus treatment to best respond to client needs. While there are many approaches to treatment planning and intervention development, the Why Wheel is a particularly effective method that aligns with the CANS framework and can be leveraged as a means of illustrating, responding to, and prioritizing service delivery for actionable CANS items. Presenters will demonstrate the way in which an actionable CANS item can be represented within a Why Wheel, and how, in turn, it can help providers develop the most appropriate treatment plans and intervention approaches for clients. As the Why Wheel is a flexible tool, it has broad applicability, and providers can update it regularly to reflect and address clients’ changing needs-and the factors impacting those needs-from intake through discharge. In order to fully demonstrate the impact of a blended utilization of the CANS and Why Wheels, presenters will draw on existing and growing research within the organization demonstrating the decrease of CANS actionable items when coupled with use of Why Wheels. Workshop attendees will leave equipped with the skills to derive Why Wheels from CANS action items and implement the Why Wheel approach to treatment planning within their respective organizations and programs. 

Add to calendarFriday, November 06, 2015 8:30 AM - 10:00 AM (Pacific Time)
Location: Emerald 2

3B. Quality Management Trends Analysis and the Interface with training development.
Keshana Owens-Cody, M.A. & Evelyn Kintner, B.S.  (details)
3B. Quality Management Trends Analysis and the Interface with training development. 
Keshana Owens-Cody, M.A.  &  Evelyn Kintner, B.S.


Utilizing qualitative and quantitative analyses, the presenters demonstrate the utility of the CANS NY for performing program evaluation in the largest child welfare agency in the northeast region of New York.  Comprised of 3 affiliates, the agency offers care for youth and families in the following service areas: Preventive Services, Foster Care, Residential Programs, Specialized Educational Programs, and Community Based Waiver Programs. Through training seminars, the agency has successfully achieved an agency wide implementation of the CANS and is currently rolling out an innovative practice model based on the CANS and TCOM to align staff competencies with the demands of managed care and outcome measurement. 
The presenters will identify early trends through data analyses and feedback from training events conducted with Program Directors.  Strategies for achieving an organizational culture shift from a process to assessment based treatment model are offered.  The final part of the presentation will focus on how the Training Department supported the process and developed the training curricula in response to identified needs.  Curricula include: Supervisor Training, Understanding the Role of Data from a managed care perspective, use of Super Users within the agencies as change agents, and integration of the Pathway model. 

Add to calendarFriday, November 06, 2015 8:30 AM - 10:00 AM (Pacific Time)
Location: Seattle Ballroom 3

3C. Building a TCOM culture through Supervision
Suzanne Button, PH.D. & April Fernando, Ph.D.  (details)
3C. Building a TCOM culture through Supervision
Suzanne Button, PH.D. & April Fernando, Ph.D.

This workshop will discuss the use of the CANS/ANSA in clinical supervision to support individual, child and family outcomes and to fully implement TCOM in clinical practice.  Strategies on the use of the CANS suite of tools will be discussed with the goal of developing a Supervisor Toolkit that can be broadly shared with the TCOM community.





Add to calendarFriday, November 06, 2015 8:30 AM - 10:00 AM (Pacific Time)
Location: Emerald 3

3D. Beyond the Selection of a Functional Assessment:
Approaches for ensuring a meaningful implementation of the CANS.

 Krista Thomas, Ph.D. & Esther Jennifer O'Brien, M.S.    (details)
3D. Beyond the Selection of a Functional Assessment: 
Approaches for ensuring a meaningful implementation of the CANS.
 
Krista Thomas, Ph.D.,  & Jennifer O'Brien, M.S. 
 
This presentation is designed to provide an overview of the domains of CANS readiness and implementation that are critical in order for participating jurisdictions to make meaningful use of this powerful functional assessment tool. Presenters from the Chapin Hall Implementation Collaborative will briefly share their approach to implementation support, with an emphasis on its applicability to CANS implementation. Presenters will present an overview of key developmental activities that would benefit from the investment of time and resources prior to CANS implementation. In addition, substantive time will be dedicated to providing specific strategies for supporting staff and leadership to meaningfully use the CANS data to inform decision-making at all levels of the child welfare agency.

Add to calendarFriday, November 06, 2015 8:30 AM - 10:00 AM (Pacific Time)
Location: Seattle Ballroom 1

3E. Concurrent validity of alternative CANS outcomes metrics.
William A Shenum, Ph.D, Julian Leiro, B.A. & Delisa N. Young, MA.  (details)
3E. Concurrent validity of alternative CANS outcomes metrics.
William A Shenum, Ph.D,   Julian Leiro, B.A. &  Delisa N. Young, MA. 


The CANS offers an array of different scoring metrics to evaluate youth outcomes. These metrics have proven useful not only to practitioners working directly with youth but also to program evaluation researchers involved in continuous quality improvement activities. However, more information is needed concerning the utility of various CANS scoring metrics. Are certain metrics more valid than other are? Are some metrics more closely associated with independently measured outcomes? The present study attempts to address these questions. We explored the concurrent validity of several different CANS outcome scoring metrics, using data drawn from community based and residential youth treatment programs. Several different CANS outcome metrics were intercorrelated with independently gathered outcome data collected at the same time to determine if some metrics demonstrated greater concurrent validity than others did. Results showed that CANS metrics demonstrated significant correlations with concurrently measured, independent outcomes. Further, it appeared that the concurrent validity of specific scoring metrics varied across different types of youth service programs. Specific CANS scoring metrics, and their relationships with other outcomes, will be presented and implications for practice and evaluation research will be explored. 

Add to calendarFriday, November 06, 2015 8:30 AM - 10:00 AM (Pacific Time)
Location: Capitol Hill

3F. Shifting the Paradigm: Cultivating an organizational culture that Supports and aligns with TCOM principles.
David Channer, LCSW  (details)
3F. Shifting the Paradigm:  Cultivating an organizational culture that Supports and aligns with TCOM principles. 
David Channer, LCSW 


One great contributions of TCOM is that is helps drive a corrective evolution of practice. This evolution is characterized by improved transparency, more collaborative visioning, productive conflict-resolution and family-driven transformative care. If an agency’s paradigms of training, leadership and management are aligned with TCOM principles, this evolution of practice is fluid and efficient. But most of us work within organizational paradigms that are also in need of a corrective shift. One organizational model that provides a TCOM-Aligned blueprint for making this shift is that of “The Learning Organization.” 
This workshop summarizes the principles and practices of the “Learning Organization” with emphasis on application to, and parallels with, TCOM implementation. Participants will:
• Learn the basic components of Learning Organizations (as described by Peter Senge in The Fifth Discipline: The Art & Practice of the Learning Organization) 
• Understand the specific ways that this model aligns with TCOM
• Learn and practice specific skills to shift leadership and management practices within their teams/agencies. 


This workshop blends didactic, interactive and activity based methods. Materials and handouts will offer a concrete “starter-kit” to apply Learning Organization principles to support successful TCOM implementation.

Add to calendarFriday, November 06, 2015 8:30 AM - 10:00 AM (Pacific Time)
Location: Seattle Ballroom 2

3G. TCOM: Incorporating the CANS with wraparound values and the Child family team process: individual service planning.
Kenneth McGill, EdS, LMFT  (details)
3G. TCOM:  Incorporating the CANS with wraparound values and the Child family team process:  individual service planning. 
Kenneth McGill, EdS, LMFT


This workshop session will take the CANS certified individual through the process of connecting a completed CANS directly with TCOM practices. In particular, the CANS will be connected to ‘wraparound’ and child/family team processes as they relate to individualized treatment planning. The New Jersey’s system of care has embedded the CANS into the service delivery at all stages of treatment involvement. The goal of this embedding was to ensure that the CANS was not used as a ‘form’ to complete, but rather connected directly to the work that is being done with the child/youth and their family. The goal of attending this session is to have a clear and deeper understanding of the CANS, TCOM and how they connect directly to the lives of those we serve. 


Learning Objectives:
• Gain Understanding of TCOM or TCOM Philosophy
• Increased Child Family Team Understanding of the CANS Tool & Treatment Planning
• Effective Infusing of Wraparound Values/Principles in Creation of Individualized Service Plans (ISPs) in the Child Family Team
• Review and Rate Vignette to further expand understanding of CANS Tool and TCOM
• *Attendees should be CANS Certified in order to gain the full understanding of this interactive presentation 


The audience intended for this presentation should be from a cross section of conference attendees; direct or ‘front line’ professionals, youth/family members, supervisors and administrators. 

Add to calendarFriday, November 06, 2015 8:30 AM - 10:00 AM (Pacific Time)
Location: Emerald 1

Breakout Session 4  

4A. Evaluating outcomes for sexually exploited youth in treatment.
Danna Basson  (details)
4A. Evaluating outcomes for sexually exploited youth in treatment.
Danna Basson, Ph.D

This presentation will describe how WestCoast Children's Clinic uses the CANS to evaluate outcomes in our C-Change: Transforming the Lives of Sexually Exploited Youth program. Using our theory of change framework for C-Change, this presentation will describe outcomes for youth in this program, focusing on key areas such as suicide risk and runaway behavior. Sexually exploited youth experience prolonged exposure to violent trauma and as such, their needs are more extensive and more severe than other similarly aged youth who have experienced complex trauma. The presentation will describe the different level of needs in these key areas between C-Change clients and clients in other programs using the CANS-CSE. Then we will describe the trajectory of these clients in treatment. Using the CANS data within the ToC framework more closely aligns evaluation of the C-Change program with the program model and with the interventions we are performing. It also helps our program directors better understand how to use the CANS for total clinical outcomes management (TCOM) in this program.
Add to calendarFriday, November 06, 2015 10:15 AM - 11:45 AM (Pacific Time)
Location: Emerald 2

4B. Meaningful engagement and trauma assessment strategies for non-clinicians.
Joseph Martin, M.A. & Robin Orlando, M.A.   (4 remaining)  (details)
4B. Meaningful engagement and trauma assessment strategies for non-clinicians. 
Joseph Martin, M.A., & Robin Orlando, M.A.  


Conducting the CANS and other assessments as a natural conversation, as opposed to reading through items as a clinical checklist, helps to promote a more meaningful engagement, assessment and subsequent planning process for all involved. However, such conversations can be difficult.  In our own experience with implementation of the CANS, ANSA and FAST, this has proven to be true for caseworkers and other direct service staff. 
In particular, discussions around trauma experiences and traumatic stress reactions have proven to be challenging, and some staff have reported feeling uncomfortable or un-qualified to competently and confidently address this sensitive subject matter. Nonetheless, learning about what an individual has been through, and how it may be affecting them now, is vital to guiding how we work with an individual or family. Therefore, it is important to support staff in developing their skillset in this area by providing resources and opportunities to practice.  
In this session, we will present lessons learned and practices developed through Allegheny County’s own experience in implementing the CANS, ANSA and FAST, feedback from our Champions’ group, and through our participation in the breakthrough series collaborative “Meaningful Use of the CANS/FANS – Trauma”. Participants will learn tips and strategies for holding a safe and effective trauma conversations, strategies to support meaningful introduction of the assessment process and conducting assessment as a conversation, as well as effective engagement and assessment from the youth and caregiver perspective.

Add to calendarFriday, November 06, 2015 10:15 AM - 11:45 AM (Pacific Time)
Location: Seattle Ballroom 3

4C. Santa Clara County’s Implementation of CANS; obstacles and solutions.
Samantha Lopez, BA & Yasmina Janini, MSW  (details)
4C. Santa Clara County’s Implementation of CANS; obstacles and solutions.
 Samantha Lopez, BA & Yasmina Janini, MSW


Santa Clara County began using the CANS assessment tools in July 2012, after a state push to provide measurable outcomes. The CANS implementation was intended to demonstrate long-term outcomes and provide immediate feedback for providers to guide treatment. However, identifying significant system-wide changes has proven difficult. One factor that may be impacting outcomes has been the lack of immediate feedback for providers. Despite initial plans to create an internal feedback system for providers, the creation of such a program proved too complex for the existing operating system and therefore limited the extent to which providers could utilize the CANS. The process of Santa Clara County’s implementation of CANS and the solutions to the obstacles encountered with be further discussed in the presentation. 

Add to calendarFriday, November 06, 2015 10:15 AM - 11:45 AM (Pacific Time)
Location: Emerald 3

4D. Using the FAST in Child Protective Services: Beyond Risk Assessment.
Richard Epstein  (details)
4D. Using the FAST in Child Protective Services:   Beyond Risk Assessment 
Richard Epstein

Child Protective Services (CPS) has a long history of interest supporting decision making with safety and risk assessment tools.  Beyond safety and risk assessment, assessment tools can also help support CPS decision making alleviating the human factors issues that bias decision making.  It is in the context of these and other aspects of safety science, that Tennessee endorsed a FAST implementation as part of In-Home Tennessee, Tennessee’s Title IV-E Waiver Demonstration Project.  This presentation will describe the theoretical basis for this intervention and present early information about its implementation.

Add to calendarFriday, November 06, 2015 10:15 AM - 11:45 AM (Pacific Time)
Location: Seattle Ballroom 1

4E. Lessons learned: The TCOM partnership of funder, managed care, and Provider.
Barbara Dunn, LCSW, ACSW  (details)
4E. Lessons learned:  The TCOM partnership of funder, managed care, and Provider 
Barbara Dunn, LCSW, ACSW


Magellan has partnered with funders and providers on use the CANS in six states in vastly different ways based on different systems, funding structures, and purposes.  This presentation will look at the various ways managed care utilizes the CANS, including a behind the scenes look at how managed care operates and addressing misconceptions on how managed care uses the CANS in medical necessity decisions.  Magellan’s successful use of Transformational Collaborative Outcomes Management (TCOM) in clinical decision-support, practice management, locally effective practices, outcomes based contracting, algorithm development, predictive modeling, and quality improvement will be presented.  Developing an outcomes platform and reporting capabilities will be highlighted.  We will also explore the future of the CANS in managed care and quality improvement as part of a proactive, transformational system, including what providers can initiate in a managed care environment and how funders can build the CANS into clinical and quality program design.

Add to calendarFriday, November 06, 2015 10:15 AM - 11:45 AM (Pacific Time)
Location: Capital Hill

4F. The Singapore Experience in the Implementation of FAST in Family Service Centres.
Mr Shawn Koh, Deputy Director & Senior Principal Social Worker
Mr Paulus Sutjipto, Manager & Senior Social Worker  (details)

4F. The Singapore Experience in the Implementation of FAST in Family Service Centres
Mr Shawn Koh, Deputy Director & Senior Principal Social Worker
Mr Paulus Sutjipto, Manager & Senior Social Worker

Family Service Centres (FSCs) are key community-based social work agencies that serve the low-income and vulnerable families and individuals. The Code of Social Work Practice (CSWP) in FSCs in a key capability building initiative aimed at strengthening the professional practice of FSCs so that FSCs have the requisite capabilities and competencies to deliver more consistent services to clients.

FAST is systematically being introduces across other social services sectors (such as eldercare and school social work), beginning with the Family Service Centres. Fast was integrated into the FSC casework practice process as the output of holistic bio-psycho-social-spiritual assessment to summarize and categorize the area of needs, risks and strengths of the individual, his/her family, and the social environment surrounding the individual/family. The FAST summary then informs the formulation of a case plan for the client.

In line with the TCOM principles, FAST facilitates a common language and understanding of the needs of families and individuals and will in time facilitate a stronger collaboration between professionals and agencies to better address the needs of vulnerable individual and families in the community. More importantly, it is also envisioned that FAST will significantly influence sector wide planning and policies as funders and stakeholders can now better appreciate the professional effort required and the impact of the intervention rendered. 

Add to calendarFriday, November 06, 2015 10:15 AM - 11:45 AM (Pacific Time)
Location: Seattle Ballroom 2

4G. Agency implementation of a common assessment as a quality improvement process.
Leticia Galyean, L.C.S.W., M.S.W. & Jennifer Cardenas, L.C.S.W, M.S.W. (4 remaining)  (details)
4G. Agency implementation of a common assessment as a quality improvement process
Leticia Galyean, L.C.S.W., M.S.W. & Jennifer Cardenas, L.C.S.W, M.S.W.


Utilization of a core assessment model is essential to an organization’s effective and sustainable service provision. While agency-wide implementation of an assessment tool is a complex process-necessitating a high degree of buy-in from agency leaders and staff-once initiated, it can have a transformational effect on the quality of services provided to clients and the outcomes they experience. This workshop will present (1) the processes utilized by Seneca Family of Agencies to implement the CANS as its overarching tool for assessment and evaluation of treatment efficacy, and (2) Seneca’s outcome data stratified by agency, service type, program, and caseload following this agency-wide implementation. Using Seneca’s experience as a model, presenters will engage workshop participants in a series of exercises and discussions to facilitate implementation in participants’ agencies, giving particular attention to problem solving common barriers to implementation. Discussion will also focus on the way in which outcomes data can help build buy-in, shape and inform client services, and contribute to an agency-wide performance improvement strategy. Additionally providers will be coached to consider and conceptualize how they can leverage this data as a predictive tool in treatment, identifying those services most effective for clients with varying characteristics and needs. 

Add to calendarFriday, November 06, 2015 10:15 AM - 11:45 AM (Pacific Time)
Location: Emerald 1

Networking Lunch - Lunch is on your Own. 11:45 am - 1:15 pm  

CLOSING KEYNOTES  (details)
Closing Keynotes

1:00 to 1:45 Integrating CANS into Wraparound practice:  Opportunities and Challenges.
Eric Bruns                

1:45 to 2:30 Taking back supervision:  TCOM, Treatment planning and Clinical Supervision. 
April Fernando       

2:45 to 3:30 Understanding the Myths of Outcomes Management:  why TCOM and Communimetrics exist.
John Lyons                



Friday, November 06, 2015 1:15 PM - 3:45 PM (Pacific Time)
Location: Emerald Ballroom

CANS/ANSA/FAST Certified Trainers Workshop  (details)
*CANS/ANSA/FAST TRAINING CERTIFICATION REQUIREMENTS*
Attendance at the CANS/TCOM Conference can result in certification 
as a local CANS/ANSA/FAST trainer, provided the following requirements are met: 


1.  You need to be certified in the use of the measure(s) on which you wish to train prior to attendance at the conference. 
Note: If you do not have access to the training on the Praed Foundation collaborative website, after you have registered for the conference contact Lauren Schmidt at lschmidt@chapinhall.org or 773-256-5189 to receive a complementary coupon code. 
2.  You need to attend the Topical Interest Group on "Training" on Wednesday, November 4th, the keynotes and one breakout in each of the four sessions, and the CANS/ANSA/FAST Certified Trainer workshop on Friday, November 6th.
Note: documentation about attendance is required; please use your badge to electronically log session attendance 

Add to calendarFriday, November 06, 2015 4:00 PM - 5:00 PM (Pacific Time)
Location: Emerald Ballroom

 

Contact Information

  • Adriel Jones, MA, CMP
    Event Planner 
    530-237-4350 (voicemail)
    events@adrieljonesllc.com
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