1. Connecting Resources, Impacting Lives FRCA Quarterly Fall Retreat Tuesday, November 3, 2015 Chris Rubino Director, Strengthening Families Programs

2. Timeline to Prove/Increase Evidence Base of FRC Model ACTIVITYTIMELINESTATUS/DELIVERABLES Focus GroupsSpring 2013Summarize findings and write report - COMPLETED Literature ReviewSpring- Summer 2013 COMPLETED Develop Conceptual Framework and document comprehensive program description Summer- Fall 2013 Logic Model - COMPLETED Refine and Develop Outcome Measures Summer-Fall 2013 to 2015 Assessment Tool, CFSA 2, Reliability Study - COMPLETED Refine Measurement StrategyFall 2014 – Summer 2015/ongoing 2015 Evaluation Report, Compare Standards baseline /annual ratings - COMPLETED

3. Next Step on Timeline AC TIVITYTIMELINESTATUS/DELIVERABLES Implementation with Fidelity 1.Quality Standards Tool 2.Organizational Assessment 3.Update webinar trainings and CFSA 2.0 Guidelines 4.Train on Common Demographics and Screening and Pathways 5.Train on above and Touchpoints 6.Develop Supports for implementation with fidelity

4. What is Fidelity? The degree to which the program or practice is implemented ‘as intended’ by the program developers/researchers –Adherence –Integrity –Delivered in a “comparable” manner …SO THAT it is more likely that comparable outcomes will be more consistently achieved The Implementation Group: Progress & Possibilities November 20, 2013

6. General Services Path Track general efforts in ETO General OutreachExternal ProgramsBrief Emergency Assistance SERVICE TYPES THAT DEFINE EACH CATEGORY (AND EXAMPLES) Programs - flyers, newsletters, comm events, EC screenings Phone/ Walk-In Referrals Non-cash brief assistance Examples Clothing Food bank INTAKE REQUIREMENTS None ETO DATA ENTRYGeneral Services FOLLOW UPNot Required Not required: Recommended ETO DATA ENTRY AT FOLLOW UP Not Required

7. Center Services Path Track Individuals/families in ETO Emergency ServicesCenter Program/Service (Adult/Family) Center Program/Service (Child Only) SERVICE TYPES THAT DEFINE EACH CATEGORY (AND EXAMPLES) Financial assistance Examples Housing assistance Utility assistance Medical assistance Food Bank (recommended) Any service or prorgram provided by the FRC Examples Life Skills/job train Adult/family health Parenting programs Any service or program provided by the FRC to children (no in-person adult contact) Child health e.g. CATCH INTAKE REQUIREMENTS FRC Common Demographics & Screening* FRC Common Demographics ETO DATA ENTRYIndividual/Fam level Demographics/scre Individual/Fam level Demographics/scre Individual/Fam level Demographics/scre FOLLOW UP30 days: refer to fam dev as appropriate 45 days/program end Not Required ETO DATA ENTRY AT FOLLOW UP FU touchpoint Not required

8. Family Development Path Track Individuals/families in ETO Family Development (FD) SERVICE TYPES THAT DEFINE EACH CATEGORY (AND EXAMPLES) FD service with CFSA 2.0 and Goal Setting Required for -PAT families -CCR families -Families referred by DHS INTAKE REQUIREMENTSFRC Common Demographics & Screening* ETO DATA ENTRYIndividual/Fam level Demographics/screening results FOLLOW UPRequired within 30-90 days ETO DATA ENTRY AT FOLLOW UP-CFSA 2.0 Follow-ups -Participant Survey after each CFSA

9. What is Implementation? A specified set of activities designed to put into practice an activity or program of known dimensions (Fixsen et al. 2005) The science, practice, and policy of getting science into practice and policy (GIC 2011) The Implementation Group: Progress & Possibilities November 20, 2013

10. What is Implementation Science? The study of the process of implementing evidence-based programs and practices Implementation is NOT the validation of programs or practices Effective implementation bridges the gap between science and practice by helping to ensure that EBP’s validated in the “laboratory” produce similar outcomes in the “real world” The Implementation Group: Progress & Possibilities November 20, 2013

11. Stages of Implementation Implementation occurs in (additive) stages: Exploration Installation 2-4 years Initial Implementation Full Implementation Innovation and Sustainability: ongoing The Implementation Group: Progress & Possibilities November 20, 2013

12. Why Do We Need an Implementation Focus? Implementation is not an event, it is a mission-oriented process involving multiple decisions, actions, and corrections Everything interacts with everything else Chaos, complexity, & cybernetic theories hardly do justice to human services Implementation Teams support quality implementation in the “real world” The Implementation Group: Progress & Possibilities November 20, 2013

13. Implementation Drivers Common features of successful supports to help make full and effective use of a wide variety of innovations –Build Competency and Confidence Develop, improve, and sustain competent & confident use of innovations –Change Organizations and Systems Create and sustain hospitable organizational and system environments for effective services The Implementation Group: Progress & Possibilities November 20, 2013

14. Family Development Workgroup Strategic Direction: To inform the development of processes and protocols to support implementation of the Family Development Service with fidelity and to inform strategies to further validate the FRC Family Development service model

15. Implementation Team Adaptive Technical Leadership Competency Drivers Organization Drivers Performance Assessment (Fidelity) Improved Outcomes [Children, Families] Implementation Outcomes = Provider Outcomes Evidence-Based Practices [Quality, Sustainability] Foundations: Systems Building Strategies for Action Coaching Training Selection Systems Intervention Facilitative Administration Decision Support Data System

16. COACHING IMPACT Joyce & Showers 2002 OUTCOMES % of Participants who Demonstrate Knowledge, Demonstrate New Skills in a Training Setting, and Use new skills in the field TRAINING COMPONENTS KnowledgeSkill DemonstrationUse in the Field Theory & Discussion 10%5%0% Demonstration in Training 30%20%0% Practice & Feedback in Training 60% 5% On-site Coaching 95% The Implementation Group: Progress & Possibilities November 20, 2013

17. Why Implementation? We face the practical issues associated with implementation in practice and know the complexities involved. Effective Interventions X Effective Implementation X Enabling Contexts = Socially Significant Impacts The Implementation Group: Progress & Possibilities November 20, 2013

18. CHANGE “Any change, even change for the better, is always accompanied by drawbacks and discomforts” --- Arnold Bennett British novelist, playwright, critic, and essayist

19. Questions

21. How Are You Funding Family Development? Targeted Family Development Universal Family Development

22. Ideas on How to Fund Universal Family Development Targeted Family Development