P.R.E.P. Facilitator’s Guide P repare R eview and anticipate E nact P romote resilience

Ground rules Always start on time – 08:30 Standing is better than sitting Exceptions granted for Monday court Individual performance issues will not be discussed Facilitator will make workload sharing decisions – Decide if investigators should do visits for others – Make same person responsible all the time

P.R.E.P. P repare – Ensure team members have what they need to prioritize case activities (referrals assigned to tree calendars, case logs, overdue reports) – Record what is known about daily work E.g., Who’s on call? Who has court? CRIT? Training? – Prepare summary of team-related resource issues E.g., staff on leave, staff with difficult day, nurse not available, supervisor appointments – Update any unfinished business from previous day’s huddle

P.R.E.P. R eview and anticipate – State the purpose: to update and anticipate Ex: “This is the anticipatory care huddle. We’ll be reviewing: your plan for the day; any known risks with your families; and any transitions of care that will occur today.” – Immediate protection agreements or removals – Provide team-level update (case closures, caseload tables, overdue #s) – Facilitate case-level updates Have each investigators gives brief summary of day’s plan. – Anticipate care needs/challenges with questioning What risk indicators are we aware of? Are they being addressed? What is the earliest date investigation will close? What are the challenges and/or barriers case closure?

P.R.E.P. E nact – Mobilize resources to support team-based care. – Expect team members will experience challenges throughout the day. Build individual resilience and team shared meaning-making with an eliciting/evoking style and closed loop communications. What challenges do you anticipate today? – Ask this of each investigator and require a response. Use affirmative statements; “I know” vs. “ I think.” Take ownership to close the loop

P.R.E.P. P romote resilience – Close each huddle with a statement that reinforces the anticipatory care model and promotes resilience. Regularly reflect on and learn from outcomes to build group capabilities – Ex: Unsafe sleep related deaths are on the rise in Tennessee. Be sure you are assessing for other risks in the home – like the no sleep furniture for an infant. Display quality goals/targets prominently and verbalize frequently – Ex: Close 80% of cases by 60 th day