peace, love… and the cans. agenda welcome 8 stages of a social movement cans as a social movement...

Peace, Love… and the CANS

Agenda

• Welcome• 8 Stages of a Social Movement• CANS as a Social Movement• Stage 4 – Southwestern Pennsylvania• Stage 1 - Fayette• Stage 3 – Allegheny• Stage 5 - Westmoreland• Moving Forward – Tri-County

Collaboration• Questions and Answers

Social Moveme

nt

Stage 1 Business as

UsualStage 2 Failure of

Established Channels

Stage 3 Ripening

Conditions

Stage 4 Take Off

Stage 5 Perception of Failure

Stage 6 Winning Over the Majority

Stage 7 Achieving

Alternatives

Stage 8 Consolidatio

n and Moving On

Source:: Doing Democracy: The MAP Model for Organizing Social Movements by Bill Moyer 2001

The CANS…

…as a Social Movement

Social movements do not move in a linear way… movements have many demands for policy changes and their efforts for

each demand are in a specific stage.

Adapted from Bill Moyers’ “History as a Weapon”

CANS

Stage 4

Take Off

TAKE OFF

• Trigger event• Dramatic campaigns• Actions show that conditions and

policies violate widely held values• Problem put on agenda• New social movement rapidly

takes off

Social Moveme

nt

Stage 1 Busines

s as Usual

Business as Usual

• Get and keep people thinking about the problem AND the solution

• Support through small groups• Spread the word• Begin winning people over

Fayette County… 10+ years ago CYS, JPO, & MH had a

Vision

Population: 143, 925

Urban, Rural and Farm Residences

Six School Districts

Vision: “To Improve the Collaboration Between Families and the Children’s Service System”

• One common tool or assessment that all families and children’s service providers could use, and understand

• Family & providers can all communicate and identify areas of needs, concerns, and strengths together

• Families don’t have to share their stories over and over again

• Minimize duplication of services

Where to Start?

• CYS, JPO, Behavioral Health (BH) Agreement

• Researched and found data systems, used ICSP funds (KIDnet & CISS) 2008

• Piloted High Fidelity Wraparound 2008

• Trained CYS, JPO, & BH Staff on CANS & KIDnet

• Trained Family Service Providers (FSP) on CANS

2010 Implementation

• Visited individual Family Service Providers & demo KIDnet

• Piloted with Adelphoi Village (Champion) KIDnet Implementation

• Trained FSP on KIDnet• Follow-up Webinars to discuss data & KIDnet

barriers and problems ~ user stumbling blocks…ongoing

• Training to be a CANS Trainer & Coach ~ sustainability plan

• Sustain CANS by training CANS Trainers within the provider system

RIGHTEOUS LESSON

Communicate, Communicate, and go back and send out a reminder… Remember things will still not always go as planned, so learn to problem solve and work with what you have, BE POSITIVE, Respectful of Time, & PURPOSEFUL

Social Moveme

nt

Stage 3 Ripening Condition

s

Ripening Conditions

• Recognition of problem grows• Uninterested become interested• Increased awareness and visibility• More active local groups• Need pre-existing institutions and

networks available to new movement• Constant outreach

Allegheny County, Pennsylvania

Population: 1.3 million

130 municipalities

91 neighborhoods in the city of Pittsburgh

Serving - 194,972 residents DHS Budget – $987.3 million Funding sources – 183 each with separate laws, regulations and reporting requirements

DHS Service Providers – 395 with 473 contracts for 1,600 services by providers

Increased Visibility…What a Long Strange Trip It’s Been

• July 2010 – All Behavioral Health Providers Trained and Certified

• Fall 2010 – CANS Information System Launched

HELP… I need somebody… HELP… not just anybody… HELP…

I need Information System Tech Support!!!

The Communication Plan

• Touch Point Calls• Site Visits• System Testing/Provider Involvement• Communication Meetings at all Levels

– Service Coordination Unit Directors– Technical Advisory Committee– Ongoing Technical Assistance for Staff in

the Field (Building Relationship)• Email Blasts

CANS Champions

• TRAIN THE TRAINER KICK-OFF AND THE IMPORTANCE OF BREAKING BREAD

• QUARTERLY MEETINGS– CANS AND THE SERVICE PLAN– TOOL CHANGES– BROCHURES/LOGO

• ONGOING COMMUNICATION BETWEEN MEETINGS

RIGHTEOUS LESSONA LITTLE HELP FROM MY FRIENDS

Social Moveme

nt

Stage 5 Perceptio

n of Failure

Two steps forward …one step back

• SEE GOALS UNACHIEVED• SEE POWERHOLDERS UNCHANGED• SEE MOVEMENT AS STALLED• PART OF THE MOVEMENT PROCESS• ROLL OUT STRATEGIC, ACHIEVABLE

OBJECTIVES• CELEBRATE AS OBJECTIVES ARE

ACHIEVED

Perceptions of Failure

“I have not failed 700 times. I have not failed once. I have succeeded in proving that those 700 ways will not work. When I have eliminated the

ways that will not work, I will find the way that will work.”

~ Thomas Edison

Westmoreland, Pennsylvania

2009 population of 362,251

• 4.8% < 5 years of age• 19.8% < 18 years of age

Child Serving Systems not under a human services consortium Base Service Unit acts as the “gatekeeper”

Westmoreland County… In the Beginning

• 2007 – Integrated Children’s Service’s Plan

• Medical Assistance Realignment activities

• Multiple assessment tools being used

• Need for a common assessment identified

Introducing the CANS to Westmoreland County

• ICSP Funding• Development of CANS Comprehensive

– Dr. John Lyons– Key Stakeholders

• Informational Sessions• Train the Trainer Session • CANS Roll Out• Additional CANS Certification Training

Training Challenges… Houston, we have a problem

• Post-Training Expectations Unclear• Administrative Support Lacking• Resistance• Underestimation of time and effort

required in training staff

Implementation Challenges

• Lack of trained and certified staff• CANS viewed as a “mental health”

assessment tool• Failure to recognize the value of the

CANS on multiple levels• CANS viewed as a form• Lack of ongoing administration support

Righteous Lessons• System change is Difficult• What’s in it for me? • Agency

Mandates/Requirements • Agency/System

Administration support is essential

• Too Many Cooks in the Kitchen

• Smaller is Better• Long Range Plan• Reclaim CANS through

Training Assistance

Righteous Lessons• Data Management

System• Collaboration• Revamping CANS• Practice, practice,

practice • CANS as a

Transformational Tool

TRI-COUNTY COLLABORATIVECome together…

Tri-County Collaboration

• Shared Resources • Problem Solving/Brainstorming• Potential for Use of One CANS Across

Counties

Challenges a Provider Faces

• Every county has different expectations of providers

• Different forms, assessments, and other paperwork

• Unfunded mandates• Top down decision making that have

unintended consequences

How the Tri-County CANS Initiative Impacts our Agency

• All three counties working collaboratively and seeking our input helps us to be successful.

• Getting a chance to shape public policy from grassroots level.

• Agency feels ownership in process, making it more likely for CANS implementation to be successful.

• Outcomes that will shape future practice.

Questions?

Contact Information:

Kellie GavranFayette County Behavioral Health Administration

kelliegavran@fcbha.org

Shauna LucadamoAllegheny County Department of Human Services

slucadamo@alleghenycounty.us

Robin OrlandoAllegheny County Department of Human Services

rorlando@alleghenycounty.us

Renee Raviart-DadeyWestmoreland County Behavioral Health and

Developmental Servicesdadeyr@Westmoreland.swsix.com

Lorin ZimmermanAdelphoi Village

lorin.zimmerman@adelphoivillage.org