Transformational Collaborative Outcome Management

Transformational Collaborative Outcomes Management

TCOM is an approach grounded in a philosophy of a single shared vision–helping people achieve their health and wellness goals as they navigate healthcare, child welfare, juvenile justice, behavioral health, education, and other complex systems.


    • Human-serving systems and enterprises have a primary mandate of facilitating and supporting personal change (transformation).
    • Human serving systems and enterprises are inherently complex as a result of the number of humans involved. This diversity of aims and perspectives can only be managed through meaningful integration. Integration among people is best managed through collaborative processes.
    • All partners in human serving systems and enterprises have the responsibility for collecting, managing and using accurate, relevant, and respectful information about the people served.


    • All assessments and interventions should be culturally responsive and respectful.
    • People should have voice and choice with regard to participating in any assessments and interventions.
    • All interventions should be personalized, respectful and have demonstrable value to the people they serve.
    • Collaborative processes, inclusive of children and families, should be used for all decisions at all levels of the system.
    • Consensus on action is the primary outcome of collaborative processes.
    • Information about the people served and their personal change should always inform decision making at all levels of the system.
    • All of our work should be accomplished with respect of the earth and our impact on it.
Dr. John Lyons
Dr. John Lyons

Founded in 1998 by Dr. John S. Lyons, the Praed Foundation seeks to support transformational activities in human services, with a special emphasis on improving the lives of children and families. The Foundation has a variety of projects that supports its mission including managing flexible funding for youth with mental health needs in the juvenile justice system. The primary work of the Foundation is in support of a mass collaboration of individuals who seek to use evidence-based assessments as an approach to working together to maintain the focus of human service enterprise on the people they serve. As such, the Praed Foundation maintains the copyrights on the Child and Adolescent Needs and Strengths (CANS), Adult Needs and Strengths Assessment (ANSA), Family Advocacy and Support Tool (FAST), Safe Systems Improvement Tool (SSIT), Readiness Inventory for Successful Entrepreneurship (RISE), and Crisis Assessment Tool (CAT) to ensure that they remain free for anyone to use who shares this commitment.