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Module 3

Pathways to Well-Being: Continuous Collaboration

through Monitoring & Adapting

Presented by:Becki DeBont, Linda Ketterer

and Amanda Lance-Sexton

Written by: Bethany Hansell, MFT (April, 2014)

Agenda

• Welcome, review of agenda, purpose, and learning objectives for the day

• Child and Family Team Monitoring and Adapting Standards and Responsibilities

• Services and Supports

• Communication and Relationships

• Ongoing Child and Family Team Meetings

• Practice

Purpose

This module is designed to provide an overview of strategies for monitoring needs, maintaining family/youth voice, continued engagement, flexibility and adapting plans and action steps within the context of the

Child and Family Team

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Learning Objectives

• Describe the purpose and value of on-going collaboration with children/youth and families

• List approaches for maintaining active involvement and collaboration in the Child and Family Team.

• Review strategies for flexible, strengths-based and family driven goals and adapting plans as needed throughout the teaming process.

• Identify strategies for monitoring progress in the context of teaming and the Child and Family Team.

Group Agreements

Introductions

At your table, discuss your experience with Pathways to Well-Being thus far:

• Introductions (Name, agency and job title)• Assessment

• How has it been working for you?

• Successes/barriers?

• Supports needed?

• Develop ideas (Action items)

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Monitoring & Adapting Standards

• Monitoring and adapting the plan is a responsibility shared among all team members.

• Monitoring includes on-going assessment for further trauma exposure which may impact the child and family’s progress.

• The Child and Family Team identifies and connects goals and interventions to observable or measurable indicators of success, continually revisits progress on tasks and goals, and revises the plan accordingly.

Core Practice Model Guide: Pathways to Mental Health

Child and Family Team Responsibilities

• Maintenance of documentation

• Focus on positives

• Encourage youth/family voice on progress

• Ongoing evaluation/measuring

• Celebration of reaching milestones

Core Practice Model Guide: Pathways to Mental Health

Continuous Collaboration

Monitoring and Adapting

in the context of Teaming and Child and Family

Team

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Continuous Collaboration

Services and Supports

• Ongoing monitoring of relevant needs• Child/youth and family voice• Natural supports

Continuous Collaboration

Communication and Relationships

• Child and Family Team Meeting is just ONE way for communication

• The responsibility of the team is to be regular contact with each other regarding services and supports.

Continuous Collaboration

Communication and Relationships

• Have members’ contact information

• Check-in/Respond in a timely manner

• Accountability for action items/involvement in the Child and Family Team

• Focus on the positive• Give specific examples when communicating

with members

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Continuous Collaboration

Communication and Relationships

• Membership changes• Review Teaming Standards • As time progresses, membership should move

from formal supports to natural supports

• Meeting Preparation• Supporting the Child and Family Team

VIDEO

Video Guided Discussion

• What worked?

• What upgrades would you make?

• What language would you keep or change?

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BREAK

• This slide is hidden. It is helpful for you to have an idea when you will take a break. However, sometimes there may be more or less discussion than you anticipate so the break may not always occur at the same place in the PowerPoint so the slide is hidden and does not appear on the screen.

Continuous Collaboration

Meetings• Structure

• Occur AT LEAST every 90 days and as a guideline, are usually no more than 90 minutes in length

• Strengths-based• Facilitator keeps it focused• Documentation

Successful Child and Family Team Meetings

Helpful hints• Pre-planning and communication with team members

prior to the meeting• Ensure all invited members receive meeting a reminder

• Begin and end on time

• Review Team Agreements

• Have age appropriate ways for the child to be involved in the meeting

• Other hints?

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VIDEO

Video Guided Discussion

• What worked?

• What upgrades would you make?

• What language would you keep or change?

Successful Child and Family Team Meetings

Meeting Documentation

• Ongoing monitoring of:

• Teaming Standards

• Child and Family Team Meeting Summary

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Child and Family Team Meeting Summary Form

Action Items

• Informal, flexible

• Voice of the child/youthand family

• Specific and measurable

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Scaling Participation (facilitator to ask each team member)

On a scale from 0-10 where 0 means I had no input during this meeting and 10 means that my voice was listened to and valued:

Scaling the Services/Support/Action Steps (facilitator to ask each team member)

On a scale from 0-10 where 0 means the services/support/action steps have no elements that will help and 10 means that everything that

needs to happen for the child/youth is happening:

SIGN IN / SIGNATURE PAGE / CFT MEETING AGREEMENTS

We, the undersigned, agree to keep confidential all personal and identifying information and records regarding the family

except as otherwise provided for via separate and properly executed Release/Disclosure forms. During this meeting a

plan will be developed to address the needs of __________________________ and we will each receive a copy of the

plan.

This meeting must include the parent(s) and the youth*, CWS staff, Behavioral Health provider, informal supports

identified by the family, substitute caregiver, and other formal support as relevant.

Print name

Relationship to family/youth Signature

Phone/Email

1.

2.

3.

4.

5.

6.

7.

8.

9.

10. 1

*If the parent and/or youth were not in attendance document efforts made and/or planned to ensure their

participation:

_____________________________________________________________________________________________

__________________________________________________________________________________________________

Copies of this document were provided to all attendees on:

_______

0

1000

1000

0

04-174 (02/14) (L2)

Page 1 of 2 County of San Diego/HHSA/CWS

Pathways to Well-Being

Child and Family Team (CFT) Meeting

SUMMARY

Meeting Date:

Facilitator:

Check one:

Initial Meeting

Follow Up Meeting

Mother’s Name:

Father’s Name:

Caregiver Name:

Child/Youth’s Name:

Intensive Care Coordination (check one):

Yes

No

Not Yet Determined

Identified Goal for Meeting: ________________________________________________________________

Existing Support/Services Continue

? Changes/Additions to Support/Services

Recommended by team

_________________________________________

_________________________________________

_________________________________________

_________________________________________

Y/N

Y/N

Y/N

Y/N

_________________________________________

_________________________________________

__________________________________________

__________________________________________

What needs to happen? Who is going to make

it happen?

When will it be

completed? Our Progress/Follow up

In Process Ongoing Revised

Completed on:_________

In Process Ongoing Revised

Completed on:_________

In Process Ongoing Revised

Completed on:_________

In Process Ongoing Revised

Completed on:_________

In Process Ongoing Revised

Completed on:_________

Next Meeting Date (Required within 90 days if youth is receiving Intensive Care Coordination) and/or communication plan:

_____________________________________________________________________________________________

__________________________________________________________________________________________________

___________________________________________________________________________________________________________

VIDEO

Video Guided Discussion

• What worked?

• What upgrades would you make?

• Other comments?

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Child and Family Team Meeting Summary Form

Ongoing evaluation/measuring

• Scaling Questions

• Gathering information from all members

• Flexibility and adaptation

0 1 2 3 4 5 6 7 8 9 10

Scaling Questions Pictures

Scaling Questions Pictures

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Child and Family Team Meeting Summary Form

Encourage youth/family voice on progress

• Be curious and non-judgmental

• Solution-focused language• “Wow! How’d you do that?”

• Adaptations may be made

Child and Family Team Meeting Summary Form

Celebration of reaching milestones

• Have fun!

• Acknowledge achievements

• Small steps lead to big change

Continuous Collaboration Practice

• Refer to handout titled “Mock Child and Family Team Meeting”

• Take 20 minutes to role play a Child and Family Team Meeting in which you are reviewing the Teaming Standards and adapting the plan.

• Take 5 minutes to discuss what went well and what were some challenges in the meeting.

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A word about what is next…

• This is the third of four training modules to support implementation of Pathways to Well-Being.

• Module 4 will focus on Transitions.

Planning Ahead

On your own:• Please write down two ideas or tools you learned today that

you hope to put into practice or try.

With a partner:• Please share one of the new ideas or tools you learned

about that you would like to put into practice or try on and share what you will need to do this.

With your supervisor:• Review what you learned and what you plan to put into

practice in your next supervision.

Plus/Delta

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References

• Core Practice Model Guide: Pathways to Mental Health. Retrieved from: http://www.dhcs.ca.gov/DocumentsKACorePracticeModelGuideFINAL3-1-13.pdf

• Taking A Solution Oriented Approach to Meetings January 2012. Retrieved from: https://blogs.glowscotland.org.uk/ac/.../Solution-Oriented-Handbook.pdf