CAPA Our Road Map

 Continuous changing of “best” practices  Various mandates from funders  Unstable Funding  Low wages & resources  No data feedback loops  Competition/tension between providers Historical Context

 Competition & Choice  Funds connected to outcomes  Data driven and directed Future Context

Two choices  Prepare for services informed & directed by data  Prepare for irrelevance

 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

Joined Forces CAPA

 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+

Game Changer

 Regular worker surveys (REDCap) Services Evaluation

 Regular worker surveys (REDCap) Services Evaluation

 Regular worker surveys (REDCap) Services Evaluation

 Regular worker surveys (REDCap)  Web-based 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