2009 Provider Expo A Celebration of Working Together to Strengthen Communities

Integrated System of Care Developer Care Management ProvisionCare Management Provision –Dawn Project, Indiana 1997 –Cincinnati, Ohio 2002 –Rockville, Maryland 2005 –Baltimore City, Maryland 2006 –Baltimore County, Maryland 2007 –St. Mary’s County, Maryland 2007 –Harford County, Maryland 2008 –Washington, DC - fall 2008 System of Care SupportSystem of Care Support –Youth Emergency Services 1998 –Back to Home, 1999 –Child Abuse Hotline 2004 –Full Purpose Partnership 2004 –Reception Center 2007 Training and ConsultingTraining and Consulting –TA Center 2003 –National Consulting - ongoing

Indianapolis – Indiana (1997) Cincinnati – Ohio (2002) Rockville – Maryland (2005) Baltimore City – Maryland (2006) St. Mary’s – Maryland (2007) Washington DC (2008) Choices Care Management Over 220 Employees $38 Million Annual Budget Over 1000 youth served in Child Family Teams daily Working across ALL child serving systems – 60% CW

CFT meetings every 30 days Authorize all of the care Access Provider Network Families driving the Plan 60 minute meetings Crisis Plan within 24 hours

PLAN Case Manager School Family Juv Probation Child Welfare Mental Health/ Substance Abuse Care Coordinator Individualized Care Plan Single pointof Communication FAMILIES DON’T FAIL--PLANS DO

System of Care Core Values: Community Based Child centered and Family focused Culturally Competent Guiding Principles: Comprehensive – a broad array Individualized – not a cookie cutter approach Coordinated both at the system and service delivery levels Involve families and youth as full partners Emphasize early identification and intervention

Care Coordination Family Involvement Cultural Competence Community Based Treatment & Supports System of Care Process

A System of Care is… One Stop Shop for all human service systems NO WRONG DOOR for children and families across ALL systems A Place where I’d send my family With the values and principles guiding the process

Parallel Processes across Child Serving Systems Child Welfare – state reforms include “child family teams”, family group conferencing Juvenile Justice – restorative justice uses a team approach, Mental Health – wraparound team process Education – IEP – Individualized Educational Plans – team based Developmental Disabilities – person centered planning team

National Trends

TEAMS

5 Dysfunctions of a Team Patrick Lencioni tells us: Not 5 distinct issues Interrelated and interdependent One link broken, the teamwork disintegrates

Teams that DIDN’T work Characteristics of why they didn’t work

Teams that DIDN’T work 1 leader, no others No trust amongst them Designated leader doesn’t lead No plan for follow through No understanding of mission No sense of humor No communication Lack of empathy No compromise Lack of self-esteem Lack of hard work Not even participation Unrealistic goals

Teams that DID work Consistency Broad group with common purpose Time limited, short concise Share the load Assistance, resources Role clarity Humor All work together Compromise Motivated Single purpose Follow through Respect, sharing Dedication Equals, understand Food

Stages of Team Development StageThemeTask GoalGoal FormingAwareness Commitment:Acceptance: Resolving dependency StormingConflict ClarificationBelonging: Resolving feelings NormingCooperation InvolvementSupport: Increasing team cohesion PerformingProductivity AchievementPride: promoting interdependence AdjourningSeparation Celebration & closure Satisfaction: encouraging comments

When looking at the stages Each stage is predictable and every team goes through each stage Each stage is manageable by the leader. It offers a plan for leadership Knowledge of the stages helps both the leader and members understand what is happening in the team and why

LEARN FROM THE PEOPLE PLAN WITH THE PEOPLE… WHEN THE TASK IS ACCOMPLISHED THE PEOPLE ALL REMARK WE HAVE DONE IT OURSELVES - Lao-tzu

Team basketball clip

Collaboration vs. Clobberation

“CLOBBER”ation is… clob·ber (klŏb'ər) clob·bered, clob·ber·ing, clob·bers Slang To strike violently and repeatedly; beat or maul. To defeat decisively To criticize harshly Final answer (my add-on) Dictionary.com, 2009

Collaboration Col*lab`o*ra"tion\, n. The act of working together; united labor. col·lab·o·rate 1.To work together, especially in a joint intellectual effort. 2.To cooperate treasonably, as with an enemy occupation force in one's country. Dictionary.com, 2009

Collaboration Winer & Ray, 2000 from the Collaboration Handbook definition: “Collaboration is a mutually beneficial and well-defined relationship entered into by two or more organizations to achieve results they are more likely to achieve together than alone.”

Factors that Make or Break Collaboration Ideology Leadership Power History Competition Resources Winer & Ray, 2000

Foundation for Successful Collaboration Mutual agreements Common goals and missions Win-Win for all Mutual satisfaction Hard work and effort

Change Imposed is Change Opposed When YOU choose to Change You Gain!

Softball

Collaboration The elements necessary for successful collaborative efforts:

ColLABORation Labor – hard work

CollabORATION Labor – hard work Oration – talking together

CoLLABoration Labor – hard work Oration – talking together Ball – having fun, successes

ColLABoration Labor – hard work Oration – talking together Ball – having fun, successes Lab – new learning, experiment

ColLaboRATIon Labor – hard work Oration – talking together Ball – having fun, successes Lab – new learning, experiment Trail – new ground together

ColLabORATIon Labor – hard work Oration – talking together Ball – having fun, successes Lab – new learning, experiment Trail – new ground together Tailor - individualized, unique

COLLAborATION Labor – hard work Oration – talking together Ball – having fun, successes Trail – new ground together Lab – new learning, experiment Tailor – individualized, unique Allocation – the funding will follow

“It has never been done this way before” “You can’t do it that way” “We don’t operate that way here”

STEPS ON THE LADDER OF CHANGE PARTNERSHIP Active Resistance Passive Resistance Tolerance Compliance Commitment YOUTHEM PTP: AM I PART OF THE SOLUTION OR PART OF THE PROBLEM?

Building a Collaborative Community CooperationCooperation –Shorter term informal relations, sharing info – one way; no risks (low intensity) CoordinationCoordination –More formal relationships and understanding of missions – no money shared or pooled CollaborationCollaboration –Durable and pervasive relationship with full commitment to a common mission; jointly share results and rewards – show me the $$ (high intensity)

Collaborative Features Public and Private Human Service agencies Community steering committees or consortiums Multiple public funders Local community mental health and health centers School districts Family support network involvement

Community Communication Method Consortium meets monthly Payers/Referrers/Providers meet monthly Agency Board & Clinical Workgroup meets monthly Semi-annual focus groups with referring agencies Supervisors meet bi-weekly with Manager Supervisors facilitate weekly Peer review Supervisors meet with CC’s 1:1 daily Supervisors meet quarterly with Referring Supervisors CC’s & Supervisors meet with Psych MD’s Mandatory all staff training weekly CC’s hold Service Team meetings < 30 days Director available for consults daily Community Supervisors Line Staff

FAMILY Service Coord. Service Team Reps. Community Agencies PTP: SHOULDN’T WE KNOW THE DX OF EVERYONE INVOLVED? PTP: SHOULDN’T WE KNOW THE STRENGTHS OF EVERYONE INVOLVED? Culture of Care Values

Planning Organizations (lead and partner agencies) Hospitable System (Policy and Funding Context) Effective, Collaborative Supportive

PEOPLE ARE MUCH MORE LIKELY TO ACT THEIR WAY INTO A NEW WAY OF THINKING THAN TO THINK THEIR WAY INTO A NEW WAY OF ACTING HBR – 5/2005

Cross System/Community Collaboration Shared Community Vision – “what is your community’s shared vision?” Educational opportunities Surveys – focus groups Job shadow cross system Meetings – sharing Share opportunities, consultants, etc.

Sustainability Value driven system in community –Emphasized strengths based –Family Driven –Community Teams – shared risks Collaboration from community & program partners –Delivering a cost effective & quality product –Helping our referral partners do their job better Training –Cross training – we provide strengths based training and they provide system specific –Regular, ongoing and then situational/as needed

Teamwork

As your PARTNER, we promise to… P ut your needs first in every situation A dd value to your personal leadership R ecognize we serve a common goal T ailor our services to meet your need N ever take for granted the trust placed in us E mbody excellence in everything we do R espect everyone’s uniqueness

The Great Mullah 3 Brothers & 17 camels Oldest = 1/2 Next = 1/3 Youngest = 1/9 It doesn’t work – how do we do this? With 18 camels Oldest = 9 Next = 6 Youngest = 2 TOTAL = 17 And the Mullah walked away with his camel

Collaboration is when… Everyone shares a little to receive a lot