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Supervising with the CANS: Integrating the CANS into
the Fabric of Your Supervisory Processes
Nancy L. Moore, LISWAnn Klein, MA
Hamilton Choices, LLC; Cincinnati, Ohio
CANS Conference 2010
Discussion Questions• What is your favorite thing about the
CANS?
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
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.
• 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.
Decision Support
• Improve treatment decisions• Match treatment with needs and
strengths• Improve level of care decisions• Inform Discharge Planning
How can/do we use the CANS to…
• …Improve treatment decisions?
• …Match Treatment Needs and Strengths
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
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.
How can/do we use the CANS to…
• …inform Discharge Planning
Quality Improvement Activities
• Review treatment plans and crisis plans
• Increase communication with the team
How can/do we use the CANS to…
• …Review Treatment Plans and Crisis Plans
How can/do we use the CANS to…
• …increase communication with teams?!
• What is currently happening?
• How can we improve?
Outcomes Monitoring
• Measure/ Discuss Progress
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.
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?
Use of Data In Supervision: Client Level over time
Use of Data In Supervision: Care Coordinator Level over time
Add dashboard CEO report
Use of Data In Supervision: Care Coordinator Level over time
Add dashboard CEO report
Data-Based Decision-Making Data-Based Decision-Making LoopLoop
for Managing Day to Day Operationsfor 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
Necess
ary data
availa
ble
1 7 %
3 5 %
1 2 %
2 %3 3 %
0 %
2 0 %
4 0 %
6 0 %
8 0 %
1 0 0 %
P e r c e n t o f Y o u t h
P e r c e n t o f J u v e n ile J u s t ic e N e e d M e t
N o n e e d s M e t L e s s t h a n 5 0 % M e t 5 0 % - 7 5 % M e t
G r e a t e r t h a n 7 5 % M e t 1 0 0 % o f N e e d s m e t
A c t iv e N a t u r a l S u p p o r t sN = 1 2 9
1 9 . 3 8 %
4 2 . 6 4 %
1 2 . 4 0 %
2 5 . 5 8 %
0 . 0 0 %
1 0 . 0 0 %
2 0 . 0 0 %
3 0 . 0 0 %
4 0 . 0 0 %
5 0 . 0 0 %
S ig n if ic a n tn a t u r a l s u p p o r t s
S o m e n a t u r a ls u p p o r t s
Id e n t if ie d n a t u r a ls u p p o r t s
N o k n o w nn a t u r a l s u p p o r t s
N a t u r a l S u p p o r t s A s s i s t i n g o n T e a m
Pe
rce
nt
of
Y
ou
th
P e r m a n e n c y P la n n in g
5 7 . 2 7 %
2 3 . 6 4 %
1 3 . 6 4 %5 . 4 5 %
0 . 0 0 %
2 0 . 0 0 %
4 0 . 0 0 %
6 0 . 0 0 %
8 0 . 0 0 %
Y o u t h h a sm a in t a in e d
p e r m a n e n c y o ra c h ie v e d
p e r m a n e n c y
T h e y o u t h 'sc u r r e n t p la c e m e n tis c o n s is t e n t w it h
t h e p e r m a n e n c yp la n .
T h e y o u t h 'sc u r r e n t p la c e m e n tis n o t a lig n e d w it h
t h e p e r m a n e n c yp la n .
Y o u t h d o e s n o th a v e a p la n t o
a c h ie v ep e r m a n e n c y .
Pe
rce
nt
of
Yo
uth
For additional information contact:
Nancy MooreTraining Coordinator
Ann KleinDirector of Outcomes and Evaluation
Hamilton Choices/ Choices Incwww.ChoicesTeam.org
513/765-5500
