systemic change for the protection & advocacy system
TRANSCRIPT
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Systemic Change for the P&A
How to achieve the greatest impact for the populations you serve
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Learning Objectives
• Define Systemic Change• Be able to identify opportunities for
Systemic Change• Identify the P&A intervention strategies for
Systemic Change• Determine how to decide whether to move
forward with Systemic Change• List the elements of a strategic plan for
Systemic Change
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Systemic Change
• Defined for the P&A – – Systemic change is the act of altering an
obstacle built within a system that is discriminatory, either on its face or in practice, against a group of people with disabilities for the purpose of effecting lasting change that furthers the mission of the P&A.
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Systemic Change• Altering an obstacle
– Policy, law, process, practice, attitude, operation
– Can you think of any examples?
• Within a system
– Government, business, provider
– Health care, transportation, mental health care, housing,
advocacy, legal, employment, rehabilitation, education, post-
secondary education, disability services and finance
– Can you think of other systems?
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Systemic Change
• Discriminatory – Treated differently from others, not receiving services others have,
not being treated as an equal, voice is not listened to, choice denied– What would you consider to be discriminatory?
• Group of people– Evaluation of the impact can verify that resources are better applied
in a cost-benefit analysis
• Lasting change– There is not a reversion to the discriminatory act after a change in
leadership or other situation.
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Systemic Change
• Because systemic change attacks an issue that impacts a group of
people, it is a more impactful approach to many problems than
addressing issues on an individual basis.
– Example: DOC litigation – impacts the entire Indiana correctional
system relative to prisoners with mental illness – potentially over 5000
individual cases could have resulted in this year alone.
The goal of Systemic Change is to effect a lasting change that
impacts a group and supports the mission of the P&A.
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Finding Obstacles
• Talk to people with disabilities
• Obtain public input on annual goals and objectives• News – state and local news outlets, social media,
what’s trending on a national level – what are other P&As doing?
• Conduct outreach to underserved groups and listen to what they have to say
• Connect with partners, particularly the DD Network, for
input
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Finding Obstacles• Personal observation / work & life experience of staff, board
members, advisory council
• Use of internal team meetings
• Review the data - needs assessments, official reports,
internal I&R data
• Conduct targeted surveys - people, groups, organizations
• Go to conferences and talk to attendees for trends• Get out of the box and look at other angles - PWD are
impacted every day in different ways
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Legal Interventions
• Impact litigation / class litigation
• Filing complaints with DOJ
• Amicus briefs
• Providing public comment / testimony on disability
legislation
• Policy analysis and recommendation - white papers
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Other Interventions
• Participation in advisory committees, task forces, etc.
• Using the media/getting publicity on a topic
• Collaboration with other groups
• Building a coalition to attack the issue
• Connecting the source of the issue with resources
• Educating legislators
• Support self advocacy
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Applying Interventions
• Systemic change will often require an approach that uses multiple types of interventions.– What interventions might go hand-in-hand?
• When the desired outcome requires multiple levels of advocacy, a strong strategic plan will be a key for achieving success.
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Strategic Planning
• Indiana’s process: – Once an obstacle has been identified, it is reviewed and
discussed by the Systemic Review Committee.– Several questions are asked including:
• Does it further the mission of P&A?• Will this impact the current set of goals and priorities?• What is the milieu surrounding this issue?• Does P&A have enough resources for fiscal expenditures and staff
time?• Does P&A have capacity and access to the needed intervention
strategies?– If leadership approves a systemic project to move forward, a
project manager is assigned and a strategic plan is developed.
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The Strategic Plan
• Developing a strategic plan – What interventions will be used? Resources needed?– Strategic partnerships?– Cultural competency – is training needed?– Timeline?– Anticipated outcomes– Plan for research and evaluation once the plan is completed
Now, get to work!
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