Family Matters

Family Matters: Why finding and engaging extended family and fictive kin is critical to positive outcomes for children in foster care Written by Scott Leon, PhD If I asked you to name and describe all the important people in your family, who would you list? Would the list include people other than your parents and … Continue reading Family Matters

Readiness Inventory for Successful Employment

RISEmploy Each TCOM tool is a combination of items inside of a domain meant to reflect the emerging needs and strengths of its population of use. It is adaptable. One of these adaptations is the “Readiness Inventory for Successful Employment (RISEmploy), also known as the Strengths at Work (SAW), can be implemented as its own … Continue reading Readiness Inventory for Successful Employment

Mapping it out with CANS-Y-LAND

Of the TCOM suite of tools, the most widely used tool is the Child and Adolescent Needs and Strengths Assessment (CANS). The CANS is a communimetric measurement tool that utilizes direct feedback from the youth, family & other team members to identify the actionable needs & strengths of the youth & family in developing and informing the treatment … Continue reading Mapping it out with CANS-Y-LAND

TCOM 2018 Speaker Spotlight- Vida K. Khavar

Meet one of your #TCOM2018 Presenters! Featured in this post: Vida Khavar Vida Khavar is a Licensed Marriage and Family Therapist who has 25 years’ experience in child welfare. Vida began her career as a clinician in various agencies throughout Los Angeles. She developed expertise in all areas of child welfare while striving to bring Permanency to … Continue reading TCOM 2018 Speaker Spotlight- Vida K. Khavar

My Introduction to TCOM

Rebekka Schaffer, Project Assistant at Chapin Hall I joined the TCOM Team here at Chapin Hall at the University of Chicago at the start of July 2018. When I was first introduced to the team, I was worried I wouldn’t even remember what TCOM stood for, let alone understand what they really do. My fears … Continue reading My Introduction to TCOM

TCOM 2018 Speaker Spotlight- Jen Cardenas

Meet one of your #TCOM2018 Presenters! Featured in this post: Jen Cardenas Jen Cardenas is a Licensed Clinical Social Worker and the founder of the Cardenas Consulting Group. She uses her expertise in clinical and operational management to be a critical thought partner, designer, and coach to leaders of behavioral health and child welfare organizations. She brings … Continue reading TCOM 2018 Speaker Spotlight- Jen Cardenas

The Development of CHISALS

Thanks to recent technological growth, children are receiving cochlear implants earlier than ever before. This advance in technology offers a great benefit to support earlier development of language skills.   While these advancements are exciting, they, of course, create some new challenges for the young patients, their auditory-verbal therapists, and their families. Because of their young … Continue reading The Development of CHISALS

Supporting Caregiver Connections

By: Angela Pollard Project Assistant, Chapin Hall at the University of Chicago Trauma and its effects on healthy development has become a bigger part of conversations in helping systems such as child welfare and behavioral health. Too many children experience a variety of potentially traumatic/adverse experiences (ACES), as a result of institutions and systems that … Continue reading Supporting Caregiver Connections

TCOM Tools (CANS/ANSA) Certified Trainer

The Child and Adolescent Needs and Strengths (CANS) is a tool that is collaboratively completed to measure a child and family’s strengths and needs. Along with the other TCOM Tools (ANSA, FAST, SSIT, and more), they are evidence-based assessments to support decision-making, including level of care and intervention planning, facilitate quality improvement initiatives, and allows … Continue reading TCOM Tools (CANS/ANSA) Certified Trainer

Driving Adult Recovery Forward with the ANSA in the Public Mental Health System, Part 2

by: Ella Jackson, MA, LMFT Clinical Specialist, Sonoma County Behavioral Health Continued from Part 1 posted April 5, 2018 --- I worked with Anna for 4 years. She was the first client I moved out of a state hospital. She transferred to a local locked treatment program, and as I carefully tracked her progress and setbacks, … Continue reading Driving Adult Recovery Forward with the ANSA in the Public Mental Health System, Part 2

Driving Adult Recovery Forward with the ANSA in the Public Mental Health System, Part 1

by: Ella Jackson, MA, LMFT Clinical Specialist, Sonoma County Behavioral Health I have heard people say that a person receiving care in the adult system for years, a person with Schizophrenia and a history of substance abuse, will not get better. It's a story I have heard told over and over about many of the adults … Continue reading Driving Adult Recovery Forward with the ANSA in the Public Mental Health System, Part 1

The Value of Vignettes

Mention a case vignette to anyone who has gone through the certification process for the CANS, ANSA, CAT/CSPI or FAST and you will likely hear groans, and see eye rolls. Very few people are big fans of testing and vignettes are never as clear or easy as a trainee wishes. So, if test vignettes bring … Continue reading The Value of Vignettes

Safe Systems Improvement Tool

Safe Systems Improvement Tool Tennessee’s Communimetric Assessment for Understanding Critical Incidents The 1st annual Safety Culture Summit gave attendees and their larger audience a glimpse of the work being done around safety culture. Along with the tools shared during the poster session at the summit, Michael Cull, Policy Fellow at Chapin Hall at the University … Continue reading Safe Systems Improvement Tool

How TCOM takes Person-Centered Care to Scale

Person-centered care is a strategy of providing health care that views the people using health and social services as equal partners in the entire process of planning, developing and monitoring care to ensure that the care meets their needs.   The idea that health care should be focused on the person is not new.  A considerable … Continue reading How TCOM takes Person-Centered Care to Scale

Just a Parent

By Jennifer Griffis, author of “Parenting with Hope” blog series August 2017  Join us as Jen shares her experience at the 13th annual TCOM Conference in San Antonio, TX this past fall. -- As I walked up to the conference registration table, a feeling of inadequacy began tugging at the corners of my mind. “I … Continue reading Just a Parent

The Holiday Season Requires Self-Care

As we talked about in our last few posts, the holidays are a complicated time.  Strengths, like natural supports and spiritual/religious worldview and community, are evident.  Cultural stressors can be exacerbated. In addition, individuals who have experienced loss or those who do not have adequate natural supports can experience the holidays as a lonely time.  … Continue reading The Holiday Season Requires Self-Care

The Holiday Season Can Increase Feelings of Isolation and Cultural Stress

“‘Tis the season,” as they say.  For some, it is the season of celebration and strengths, but for others, the holidays can represent heightened experiences of cultural stress. In 2015, a controversy about Starbucks’ holiday cups reflected the cultural tension evident in a season that can be perceived as Christian-centric.  Starbucks routinely changes its coffee … Continue reading The Holiday Season Can Increase Feelings of Isolation and Cultural Stress

The Holiday Season Reminds Us Of Our Strengths

The day before Thanksgiving, I was in an elevator with a man, who said, “I love Thanksgiving.  It’s the only holiday of the year that no one feels discriminated against or lonely.”  As we continued to talk, he told me that he was Jewish, and that he frequently felt lonely and stressed during the Christmas … Continue reading The Holiday Season Reminds Us Of Our Strengths

Conference Collaboration

by: Evelyn Kintner and Max Kintner, Northern Rivers The October 2017 TCOM Conference provided an incredible opportunity for Max and I to present with Stephen Shimshock and Yvonne Humenay Roberts from Casey Family Programs. Although first intimidated by our illustrious co-presenters, it took all of 20 minutes over lunch before Max and I quickly formed … Continue reading Conference Collaboration

Missed Opportunities: Youth Homelessness in America

This month, Chapin Hall at the University of Chicago reached an important milestone in their work on runaway and homeless youth. Voices of Youth Count released Missed Opportunities: Youth Homelessness in America, the first in a series of Research-to-Impact briefs on understanding and addressing youth homelessness.  The first brief -- National Estimates -- highlights results … Continue reading Missed Opportunities: Youth Homelessness in America

24 and Counting

My son shared his story in the last post. I would like to share parts of this same story from a parent’s perspective. Raising a child with mental illness is not an experience I anticipated I would be adding to my resume. And just like Emily Perl Kingsley’s essay, Welcome to Holland, I found myself … Continue reading 24 and Counting

Resilience, Recovery, and Hope

My name is Ryan and I would like to share my story of resilience, recovery and hope. As an individual who suffers from Obsessive-Compulsive Disorder, ADHD and Tourette’s, my life has been quite the roller-coaster ride of emotions. I have been told I was a giggly, happy-go-lucky toddler. I was able to read at the … Continue reading Resilience, Recovery, and Hope

Wrapping up #TCOM2017

November 2017 Update: Presentations from the conference are now available here!   Thank you to those who attended the 13th annual TCOM Conference. It was another great year and YOU are the biggest part of what made this conference a success! Make sure to fill out your post conference surveys. Your feedback will be used … Continue reading Wrapping up #TCOM2017

Principle 6. Time frames for measurement are defined

This is the last key principle in this series. Return to our home page to view all key principles!

Remembering Trauma Part 2

Earlier this summer, Drs. Cassandra Kisiel and Tracy Fehrenbach, at the Center for Child Trauma Assessment, Services and Interventions (CCTASI) at Northwestern University, a partner in the National Child Traumatic Stress Network (NCTSN), launched a public awareness campaign and short film entitled "Remembering Trauma: Connecting the Dots Between Complex Trauma and Misdiagnosis in Youth." This 16-minute film highlights … Continue reading Remembering Trauma Part 2

The Developing Communimetric Community

by Dan Warner Executive Director and Founder, Community Data Roundtable Originally posted June 19, 2017 on the CDR Blog. Click here to view more of their posts and follow their work. I first met John Lyons in 2011 when he was doing a training in Pennsylvania.  Instantly impressed by his vision for how to measure outcomes in … Continue reading The Developing Communimetric Community

Planting a Seed of Wisdom

Thank you to Tracey Merachli for sharing her vision of the CANS in this poem. Planting a Seed of Wisdom, December 2015 by: Tracey Merachli, tmerachli@children-first.ca Resource Consultant-Children First Well let me tell you about my vision for the CANS. It starts with listening to families and understanding their unique life and plans. The life … Continue reading Planting a Seed of Wisdom

Italy Hosts their First TCOM Conference

May 25th and 26th saw the first Italian conference dedicated to the CANS and TCOM. Entitled “Particepicapzione e valuatazione di esito in eta evolutiva: Approcci collaborative in situazioni complesse, sanitarie e psicosociali.” The meeting was held in Milan and sponsored by the Fondazione IRCCS Policlinico, the conference involved presentations by national leaders in outcomes management … Continue reading Italy Hosts their First TCOM Conference

Resiliency

Resiliency, as defined by the TCOM tools, is an individual’s capacity to identify and use their internal strengths to manage their lives in times of need and support their own development. Resiliency acknowledges an individual’s ability to “bounce back” from psychosocial consequences resulting from traumatic experiences. These experiences can range from traumatic life events such … Continue reading Resiliency

Remembering Trauma

The Substance Abuse Mental Health Services Administration (SAMHSA) held the 2017 National Child Traumatic Stress Network (NCTSN) All Network conference on April 25-27 in Arlington, Virginia. This year's theme was "Serving Children and Families Who Have Experience Trauma: Building  a Trauma-Informed Nation." With a continued commitment to raising the standard of care and improving access to … Continue reading Remembering Trauma

EPISODES: Structure, Function, Management

By: Nathaniel Israel, PhD EPISODES: STRUCTURE, FUNCTION, MANAGEMENT *Episode—a container or set of parameters which define when a series of actions are expected to take place and when interventions have ceased A building block of understanding a person’s care is being able to assign an Episode of Care to a person. Nearly all reports are based … Continue reading EPISODES: Structure, Function, Management

Standard Reports: Design for Decision Support

*September 2017 Post Update: Additional information added to the TCOM Report Suite. Click here to view the amended version. The work we do across all levels and systems of care is a knowledge-based community connected to a variety of service settings including clinics, hospitals, state and local agencies. Ultimately, the goal is to improve the … Continue reading Standard Reports: Design for Decision Support

Rethinking Engagement in a High Staff Turnover Environment

By: Dr. John S Lyons Engagement is the second key decision point in the TCOM conceptual framework.  Historically in most helping professions we have thought of engagement as primarily personal and often between two people.   A therapist engages a client in mental health treatment.    A substance treatment provider engages a person in their recovery process.   … Continue reading Rethinking Engagement in a High Staff Turnover Environment

Collaborating To Address Child Trauma

by:  Gene Griffin, J.D., Ph.D. Senior Fellow for Policy and Practice ChildTrauma Academy John Lyons, in his post of December 27, 2016, Complicated versus Complex: Implications for Collaboration, distinguished between a complicated system and a complex system. In a complicated system, all components and the result of their interactions are predictable. In a complex system, the final … Continue reading Collaborating To Address Child Trauma

The Growing TCOM Team

Happy Presidents’ Day! In the United States, the third Monday of February is known as Presidents’ Day, which historically honors the first President of the United States, George Washington. Today, Presidents’ Day is commonly viewed as a day to celebrate all presidents – past, present and future.  Today at the Praed Foundation and Chapin Hall … Continue reading The Growing TCOM Team

Communimetrics Roundtable

By Dan Warner, Ph.D. Are you a Communimetrics data nerd? Do you worry about your CANS’ data integrity and database structure? Perhaps you find yourself drifting off into thoughts about data capture, storage, security, and analysis! (oy, the list goes on…). Or maybe you’re more on the statistical and display side: trying to identify norms … Continue reading Communimetrics Roundtable

Healthy Relationships

Happy Valentine's Day! What does Valentine's Day mean to you? Is it a celebration of love, a hallmark holiday, or both? As a child, this holiday can take the form of a classroom activity where you put Valentine’s Day grams with chocolates and hand them out to each child in the class. As we get … Continue reading Healthy Relationships

The Women’s March-January 21, 2017

by Suzanne Button Two women meet at their child's school. Mothers and daughters become and stay friends, even though one family moves far away-- from Alaska to Virginia. This longstanding social connection leads, through a series of other social connections, to 21 women, ranging in age from 9 to 93, spending the weekend marching in … Continue reading The Women’s March-January 21, 2017

Defining a Caregiver

A caregiver is a family member or paid helper who provides physical, emotional, and/or developmental support for an individual who is unable to fully care for themselves.  When an individual is in care or receiving services, it is often important to look at multiple aspects of their life - strengths, risk behaviors, functioning, and school/work. … Continue reading Defining a Caregiver

The STRENGTH that lies in our Cultural Identity

In 1963, Dr. Martin Luther King Jr. delivered a speech on the steps of the Lincoln Memorial that effectively put civil rights on the top of the agenda and preceded the passage of the Civil Rights act of 1964. It is on this day that we take a moment as an entire nation to reflect … Continue reading The STRENGTH that lies in our Cultural Identity

TCOM Algorithms for Decision Points in Care

“Always return to a focus on the shared vision—the best interests of the people we help.”  John S Lyons By: Dr. Suzanne Button, sbutton@chapinhall.org A few weeks ago, in TCOM Conversations, Nate Israel wrote about improving the health of people-serving systems with “alignment in decision-making at every level of the system,” and emphasized the importance … Continue reading TCOM Algorithms for Decision Points in Care

Lean Management and TCOM

We shared a video recently on our Facebook and Twitter from the New York Times called “We Trust You” from the series, The Art of Better. This video, created by Charles Duhigg, examines issues of innovation, motivation, and productivity through the lens of the automobile industry in the U.S. The parallels between how one factory … Continue reading Lean Management and TCOM

Complicated versus Complex: Implications for Collaboration

by: Dr. John S. Lyons   The ‘C’ in TCOM standards for ‘Collaboration’ so it is useful to understand why we believe that collaboration is a fundamental aspect of using data to inform helping programs and systems.    In order to describe the thinking behind this choice it is useful to consider the similarities and differences … Continue reading Complicated versus Complex: Implications for Collaboration

IMDS Quarterly Newsletter Winter 2016

TCOMHappy Holidays from New Jersey! written by: Kenneth McGill The ‘Holiday Season’ is well in progress and the wrap-up of 2016 is near!  Looking back…what are some of the highlights you want to remember…are there things you would like to soon forget…what do you have planned for the New Year? Well enough introspection. My hope and wishes … Continue reading IMDS Quarterly Newsletter Winter 2016

A Cost-effective, Evidence-based Intervention for Depressed Adolescents

December 14, 2016 Written by Paul Berger, Managing Director at SAAVSUS Inc Funded by a series of grants from the National Institute of Mental Health, the Adolescent Coping with Depression Course (CWD-A) is an evidence-based, cognitive-behavioral therapy (CBT) for adolescent depression. The course materials, Leaders Manual and Student Workbook, are available as a free download … Continue reading A Cost-effective, Evidence-based Intervention for Depressed Adolescents

The RISE: A Tool for Fostering Entrepreneurship in Human Service Settings

By: Dr. Thomas S. Lyons, PhD Michigan State University R.I.S.E. -Readiness Inventory for Successful Entrepreneurship   In the business world, it has been known for some time that companies that want to be successful in the highly competitive global economy must be constantly reinventing themselves through innovation. This requires that they develop a culture of … Continue reading The RISE: A Tool for Fostering Entrepreneurship in Human Service Settings

“Do the right thing”-TenEleven group

In August, Dr. John Lyons presented a keynote at the 5th annual user conference TenEleven CONNECT. Dr. Lyons talked about "doing the right thing" for those in need with a focus on measurement and outcomes. To see the original post, visit their page at 10e11.com Dr. John Lyons and Spike Lee say: "Do the Right Thing" By: … Continue reading “Do the right thing”-TenEleven group

CASELOAD VERSUS WORKLOAD MANAGEMENT

By: Dr. John S. Lyons               Have you ever had this situation? You have talented staff and ask them to take on the most challenging cases, but then they burn out and leave for a different job, and as a manager you are now left with the staff you’ve been working around when it comes … Continue reading CASELOAD VERSUS WORKLOAD MANAGEMENT

The Role of the CANS in Reducing Residential Treatment Placement and Length of Stay in New Jersey

One of the more compelling stories from the 12th annual TCOM Conference was the KEYNOTE provided by Liz Manley, the Assistant Commissioner of New Jersey’s System of Care.  Having been involved with this project since its inception more than a decade ago, Liz provided both a personal description and a description based on the data collected,  of the … Continue reading The Role of the CANS in Reducing Residential Treatment Placement and Length of Stay in New Jersey

Key Decision Points for Collaborative CQI-Part 1

This is the first post of a multi-part series on Collaborative CQI (Continuous Quality Improvement) Part 1: Creating Trust and Positive Impact by Nathaniel Israel Health and human service systems are composed of people. People make important decisions which shift the likelihood that children and families will meet their health and wellness goals. Having a … Continue reading Key Decision Points for Collaborative CQI-Part 1

Integration Training-Mark in Phoenix

Mark was in Phoenix, Arizona, conducting a two day CANS Integration training for supervisors and staff from Casey Family Program’s Tucson and Phoenix field offices.  He was joined by Neil Mallon from the University of Maryland. The training focused on integrating the CANS into Multidisciplinary Team Meetings, Developing Strength Based Action Plans based on the … Continue reading Integration Training-Mark in Phoenix

3rd Annual International Resilience Summit-John in Chicago

Chicago was recently home to the Third Annual International Resilience Summit, hosted by the National Resilience Institute at the Chicago Cultural Center. This was a two day conference from November 2-3, 2016 where people came to learn from resilience pioneers who are actively working to help students, families, institutions, and communities become stronger, healthier, and happier. #HumanResilienceMovement Dr. John Lyons … Continue reading 3rd Annual International Resilience Summit-John in Chicago

Equality vs. Equity

By: Dr. John S. Lyons   There are two basic doctrines that have been used to define fairness—equality and equity.   Equality approaches attempt to achieve fairness by treating everyone exactly the same.   In equality doctrine fairness is defined as giving everyone identical opportunities.   Equality doctrine underlies the core constructs of a democratic society.   The Declaration … Continue reading Equality vs. Equity

The TCOM Team in Chicago

The entire TCOM Team is together in Chicago at Chapin Hall for our monthly TCOM Team meeting. Important items on our agenda today include the TCOM Conference, TCOM Implementations in various states, and how to share our principles and goals in a more clear way. Below you will see our CORE PRINCIPLES and GUIDING VALUES. None … Continue reading The TCOM Team in Chicago

Rethinking the Concept of Risk Assessment in Juvenile Justice

The current popular trend in juvenile justice is to assess risk.   Developing predictive analytics about which young people are likely to repeat criminal or delinquent behavior is important when thinking in this context. MAIN IDEA: If we can prevent who is at risk of being or staying delinquent, than we can more effectively work to … Continue reading Rethinking the Concept of Risk Assessment in Juvenile Justice

Using the Data

Complete a test, Do your research, Collect the data... There is no doubt that we live in a world with a wealth of information about the people, place, and entire environment around us. Aside from the thrilling celebrity gossip and election 2016 madness, what are we doing with all of this information? With great RESEARCH … Continue reading Using the Data

Welcome to TCOM Conversations

Welcome to the TCOM Conversations blog.  The purpose of this blog is to create an open forum for us all to share our experiences with the TCOM approach and…converse! With this, we can share in our goals and provide guidance to others J So, lets start with a simple WHO, WHAT, WHY, AND HOW WHO: … Continue reading Welcome to TCOM Conversations