1. Supervising with the CANS: Integrating the CANS into the Fabric of Your Supervisory Processes Nancy L. Moore, LISW Ann Klein, MA Hamilton Choices, LLC; Cincinnati, Ohio CANS Conference 2010

4. Discussion Questions What is your favorite thing about the CANS?

5. Training Agenda/Goals Increase understanding of how the CANS can be used by supervisors to improve outcomes for children and families Develop specific skills for utilizing the CANS to: –Improve treatment decisions –Match treatment with needs and strengths –Improve level of care decisions –Inform Discharge Planning –Measure/ Discuss Progress –Increase communication with the team –Review treatment plans and crisis plans

6. 3 Uses of the Tool Decision Support (as related to treatment planning) Ensures clinically appropriate decisions are made consistently in the service delivery process. Quality Improvement Activities Ensures that potentially effective interventions are provided when needed: needs are assessed accurately and delivered timely. Outcomes Monitoring Informs clinicians, administrators and evaluators about the impact of the intervention.

7. When I know the actual need I can be more creative in utilizing the strengths to meet the needs and empower the youth and families we serve. I become the detective looking for clues and I begin to learn the real needs and have concrete facts to work with.

8. Decision Support Improve treatment decisions Match treatment with needs and strengths Improve level of care decisions Inform Discharge Planning

9. How can/do we use the CANS to… …Improve treatment decisions? …Match Treatment Needs and Strengths

10. How can/do we use the CANS to… …improve Level of Care decisions How do we make level of care decisions? How can the CANS help with that? Algorithms

11. How do algorithms fit into Team decision making? What it shouldn’t look like – –Rules for placing kids. –A directive Use as managers to help in clinical supervision Managers train staff how to use the data with teams.

12. How can/do we use the CANS to… …inform Discharge Planning

13. Quality Improvement Activities Review treatment plans and crisis plans Increase communication with the team

14. How can/do we use the CANS to… …Review Treatment Plans and Crisis Plans

15. How can/do we use the CANS to… …increase communication with teams?! What is currently happening? How can we improve?

16. Outcomes Monitoring Measure/ Discuss Progress

17. How can/do we use the CANS to… …Measure/Discuss Progress In supervision discuss improvements/step-down, etc. Look and use the CANS for discussion.

18. Breaking down barriers Time Reassessment Other barriers… What are ways to work with staff as they work with families to overcome the barriers of the tool and make it more useful?

19. Use of Data In Supervision: Client Level over time

20. Use of Data In Supervision: Care Coordinator Level over time Add dashboard CEO report

21. Use of Data In Supervision: Care Coordinator Level over time Add dashboard CEO report

22. Data-Based Decision-Making Loop for Managing Day to Day Operations Collect data Issue arises or question identified Analyze data Identify data needs Share the results in the appropriate manner with the appropriate people Use the information to modify, improve, and maintain operations Necessary data not available Necessary data available

27. For additional information contact: Nancy Moore Training Coordinator nmoore@hamiltonchoices.org Ann Klein Director of Outcomes and Evaluation aklein@hamiltonchoices.org Hamilton Choices/ Choices Inc www.ChoicesTeam.org 513/765-5500