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Presented at the 19th Annual Research Conference

Various Strategies for Promoting, Implementing, and Surviving System Change: Steps Toward Transformation

We're sorry, handouts are not available for this presentation.

Session Number: 44 Room: Salon H

Presentation Type: symposium

Chair: Kay Hodges Discussant: Dean L Fixsen

Synopsis: National, state and local efforts to change systems of care and to introduce evidence-based practices are discussed. Fixsen provides a national perspective on the approaches to system change that various states are evolving. Goldman describes an extensive training program for an evidence-based practice, in which the agency is building capacity to sustain training and fidelity monitoring. Two presenters discuss very different approaches for meeting the mental health needs of youths referred to juvenile justice and child welfare. Finally, Fixsen comments on the three example implementations for the purpose of exploring factors that would likely maximize systemic change and its sustainability over time.

Date: Friday, February 24, 2006

Session Time: 1:15 PM - 2:15 PM

Presentation Time: 1:15 PM - 2:15 PM

Transforming Human Services: A National View of the Pieces of the Puzzle

Download Handouts: 946kb pdf

Presenting: Dean Fixsen

All Authors for this paper: Dean Fixsen

Presentation Type: element of symposium

Synopsis: “Transformation” of federal and state systems is now on the national agenda. As with any new policy or planned change process, the question is how will it be implemented? Transforming state systems presents many challenges. This presentation will outline empirically-supported approaches to systems change, especially efforts that rely upon evidence-based programs to help initiate and sustain system change. The work of the states presented in this symposium, as well as that of others, will be used to provide examples of lessons learned as well as successful strategies. Recommendations for future efforts, based on the current science of implementation, will be the focus.

Agency Level Steps Involved in Implementing Evidence-Based Practices (EPBs) within a System of Care

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Presenting: Shari Goldman

All Authors for this paper: Shari Goldman; Mary McLeod; Bobette Schrandt

Presentation Type: element of symposium

Synopsis: An early adopter’s experience in implementing an evidence-based treatment is described, including the organizational, clinical and personnel issues that arose and the efforts that were made to successfully address barriers. The agency’s routine collection of client outcome data with the Child and Adolescent Functional Assessment Scales facilitated the implementation, as did the availability of a clinically useful fidelity measure for the EBP, which was Parent Management Training - Oregon Model. This presentation will focus on issues important to discuss prior to implementation and procedures that are helpful in addressing implementation issues as they arise.

The Brown County Story: Baby Steps

Download Handouts: 617kb pdf

Presenting: Scott Shackelford

All Authors for this paper: Scott Shackelford; Jim Hermans

Presentation Type: element of symposium

Synopsis: Developing a system of care for youth involved with the juvenile justice system with emotional/behavior disabilities and their families has become a goal of the Brown County Human Services Department. By administering the Juvenile Inventory For Functioning (JIFF), a screening interview for the Child and Adolescent Functional Assessment Scale to all youth and their parents at the point of juvenile court intake for delinquency referrals, the County is beginning to learn more about the needs of youths entering the system. Results from the JIFF are forcing the County to redesign the Department and its partnerships within the community in order to better meet the needs of these families.

Staff Education and Training for Systems Change: Joint Efforts of Mental Health and Juvenile Justice

Download Handouts: 127kb pdf

Presenting: Marsali Hansen

All Authors for this paper: Marsali Hansen

Presentation Type: element of symposium

Synopsis: The Pennsylvania CASSP Training and Technical Assistance Institute has partnered with Pennsylvania’s juvenile justice system to improve the skills of staff who work with youth with mental health needs and are involved in juvenile justice services. Staff working in probation, detention centers, and secure facilities are the recipients of a standardized mental health curriculum developed by the Institute in collaboration with these juvenile justice programs. Beginning with relatively small components throughout the past decade, each piece contributes to a continuum of training that provides consistency of content and quality across the state and an opportunity for systems change at the level of frontline practice.