SunCoast Region Transformation Implementation Team November 2, 2012

Vision To implement the Florida Safety Decision Making Methodology successfully and with sustainable fidelity throughout the system of care in the SunCoast Region

What are we trying to solve? Compliance based practice model Non-integrated system of work 37% Child Protection Investigator (CPI) turnover 55% Re-investigations Lack of data integration and access to other sources Inefficient tools and processes Technology driving practice 3

‘As- Is’ CPI Time Allocation 4

Current State Decision Tree Risk Low Risk Moderate Risk High Risk No Services Prevention Diversion “Family Support” Prevention Diversion “Family Support” In-Home Non- Judicial In-Home Non- Judicial In-Home Judicial In-Home Judicial Out of Home Placement Subjective Decision Making No Definitions for Risk Levels Lack of Decision Supports Maltreatment Driven Decisions

Current State Process Overlaps 6 Statutory Criteria for CA/N, Response Priority, Searching/Linking, Background Screening Searching/Linking, Background Screening, Safety Assessment, Assess Service Needs, Refer for Services Family Assessment, Case Plan, Refer for Services, Case Evaluation Hotline Investigations Case Management Process Overlap

Florida Safety Decision Making Methodology 7 Safety Management Safety Management Safe Unsafe No Services Prevention Diversion “Family Support” Prevention Diversion “Family Support” In-Home Non- Judicial In-Home Non- Judicial In-Home Judicial In-Home Judicial Out of Home Placement In Home Safety Plan Out of Home Safety Plan Consistent Decision Making Efficient Decision Supports Decisions Based on Present and Impending Danger Teaming Model Consistent Decision Making Efficient Decision Supports Decisions Based on Present and Impending Danger Teaming Model Safe Home Safety Decision Protective Actions

Future State Minimize Process Overlap Statutory Criteria for CA/N, Response Priority, Searching/Linking, Background Screening Information Collection, Safety Determination, Family Functioning Assessment Protective Capacity Assessment, Case Plan, Refer for Services, Case Evaluation Hotline Investigations Case Management

In order to really know if a child is safe or unsafe, we need to understand how the family functions. To do that, we have to understand what is happening in the six domains listed below: Nature of maltreatment? Circumstances of maltreatment ? Child’s day to day functioning ? General Parenting Views? Adult Functioning? Disciplinary Practices?

Safety Decision Making Threats of Danger (Out of Control, Immediate, Observable, Severe Consequences) +/- Vulnerable Child (Lacks ability to self protect) +/- Parent Protective Capacities (Vigilance, preparation and power to protect) = Safe or Unsafe

Statewide Implementation Team Policy and Practice Data and Performance Communication Training and Coaching Field Readiness Ongoing Services

Proposed Statewide Roll-Out Plan Phase I: Region - Northwest Duration - Two months A single Region will implement first and the team would evaluate issues that surface and resolve as appropriate prior to the start of Phase II. Phase II: Regions - Southeast and Southern Duration - One Month Phase III: Regions - Central, SunCoast and Northeast Duration - One Month

Stages of Implementation Core Activities Exploration Conduct organizational assessment Garner leadership and stakeholder support Review literature Solicit multiple perspectives on needs and opportunities Establish baseline performance Develop intervention model Design/Installation Develop plans: Implementation Communication Change management Define goals and benchmarks Engage stakeholders Conduct readiness assessment Align organization systems/support s Initial Implementation Build staff competency Communicate project status Monitor fidelity of implementation Monitor implementation climate Identify and address barriers to implementation Provide performance feedback to staff, management, and stakeholders Adapted from Implementation Research: A Synthesis of the Literature (2008) The National Implementation Research Network

Stages of Implementation Core Activities (cont’) Full Implementation Apply lessons learned from initial implementation to full operation Track fidelity through quality assurance and performance evaluation data Solicit feedback from multiple stakeholders and consumers Evaluate impact on child and family outcomes Innovation Adapt or adjust intervention model to reflect lessons learned from stakeholder feedback, tracking, evaluation Communicate changes and rationale Re-build competency around modified model Sustainability Establish long term funding sources Align ongoing quality assurance and performance measurement with model Promote visibility of new practice and successful outcomes Adapted from Implementation Research: A Synthesis of the Literature (2008) The National Implementation Research Network

Evaluating Readiness TrainingStaffingTechnology Business Process Community Integration Sustainability Factors to Consider Have staff Been trained Train-the-trainer Supervisory Training Performance Expectations Updated Recruitment Selection Hiring Workforce stability Caseload management Tools available In FSFN Equipment Replacement IT Accessibility Budget Allocation Working Agreements Contract Stability Resources and Service Array QA Plan Communication Identified Stakeholders Crisis Management Plan Evaluation Processes Media Relations Ongoing Training Staff Retention

Contact Information Kimberly Williams (813)