Implementing CANS/FAST: Casey’s Practice Base Experience Ada Lopez MA Child Welfare Supervisor Vanessa Carrillo MSW Child Welfare Social Worker Tina Stern MSW Practice Advisor Child & Family Services

Casey Family Programs | An Overview Started in 1966 as a Direct Service Agency Mission: to provide and improve – and ultimately prevent the need for – foster care Operate 10 sites in 5 states that deliver supplemental child welfare services Strategic Consulting, ICW and Public Policy work across the country Achieving 2020: Building Communities of Hope

Casey Journey | CANS & FAST Selection of the instruments Embracing Transformational Collaborative Outcomes Management (TCOM) Embedding in the electronic case management system Training and development of staff Completion via multi-disciplinary team

Developing the Child and Adolescent Needs and Strengths (CANS) for Casey Specific domains include: –Traumatic/Adverse Childhood Experiences –Strengths –Life Domain Functioning –Development –Culture –Behavioral/Emotional –Risk Behaviors –Children Under Five –Transition to Adulthood –Caregiver Resources and Needs Total of 122 items

Developing the Family Advocacy & Support Tool for Casey Domains New Family Together strengths Update to electronic case management system Consultant role

Successes: Conversations during the training and group discussions about ratings Explanations on how to rate- actionable item or not (1 vs.2) Explanations to the rating during the training session Utilizing in clinical to practice Clickers during the training Organization chooses the items that are relevant to their population- tool allows for customization to fit specific organizational needs Narrative boxes and keep a running tab of updated dates will help tell the story. Challenges: More people in the new hire training would have been more helpful Discussions as to individual ratings vs the actual rating Some trainers did not know why things were rated their rating- trainers should have accurate information on the suggested rating Time consuming at first- Vignette world vs real world

Where are we at now: Still utilizing the reference guide Still need reminders referencing 3 for strengths and 0 for needs for no evidence Our system requires to update every 90-days however no reminders to update and approve Explanation of CANS with families and their ratings Recertification and the need for fidelity Still difficult to implement with younger children The ratings are not black and white- can be left for interpretation

Next Steps | Implementation Coaching –Provide coaching during this period and learn from successes and challenges Plan for continued staff development –Ongoing coaching and supplemental training (family engagement, substance use etc.) Ongoing CANS/FAST certification Practice integration (Consultation & Information Sharing Framework (CISF) and Neurosequential Model of Therapeutics (NMT) Evaluation

Questions & Dialogue