Registration is Open! #TCOM2019

We are so excited to announce registration for our 15th Annual TCOM Conference in Palm Springs is now open! Culture and Community: Sharing Stories from the Collaborative Every year the TCOM Conference provides an opportunity to collaborate with and learn from leaders and innovators in behavioral health, child welfare, education, juvenile justice, and more. While we all have a shared passion for serving youth and families, we each bring a unique perspective to the table. This year’s theme, “Culture and Community: Sharing Stories from the Collaborative” reminds us that it is incumbent… Read More

Dan Warner

Dan Warner, Community Data Roundtable

Avoid this Fundamental Mistake in TCOM Tool Scoring: confusing anchor definitions, for concrete details

By Dan Warner, Executive Director-Community Data Roundtable I have seen many hard-working, diligent people fail TCOM certification because they over-focus on anchor definitions, and do not properly understand the item they are rating.  They think that by focusing on the anchor definitions they are being “detail oriented,” but instead they are “missing the forest for the trees.”  The anchor definitions are not the “concrete” part of a TCOM tool.  It is the items themselves that are concrete.  After all, this is the first rule of a communimetric tool: It is an item… Read More

How to do a Quality Assessment, TCOM Style

Presented and written by Lynda Killoran (Centerstone), Lynn Steiner (Chapin Hall at the University of Chicago), and Deborah Thomas (Centerstone) In our work as trainer, supervisor or clinician, we often hear a variation on THIS theme from assessors who were recently trained on a version of the CANS: “It’s SOOOO long and there are too many questions for me to ask. I have no idea how to use this during the assessment process (or, I already know how to do an assessment, so I don’t need anyone to tell me how to… Read More

Family Matters

Family Matters: Why finding and engaging extended family and fictive kin is critical to positive outcomes for children in foster care

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 tool or included as a module in the Adult Needs and Strengths Assessment (ANSA). This tool focuses on skills and strengths that can ensure success in obtaining and maintaining a job.

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 plan. While the tool is proven to be successful and helpful to many people, we always want to make sure that clinicians, case workers, and children find the CANS to be engaging and accessible. This desire is what led Lisa,… Read More

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 center stage. Vida became a consultant in 2012 and since then, has assisted a multitude of organizations in developing new or enhancing existing child welfare programs. One of Vida’s priority is to transform the platform on which… Read More

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 were eased, however, as soon as I began my online training on the Child and Adolescent Needs and Strengths Comprehensive tool (CANS-Comprehensive). I am by no means an expert in this, but I was able to quickly… Read More

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 her no-nonsense, get-things-done approach to help clients through training, quality management, quality assurance, organizational analysis, implementation, and technical assistance on EHR systems. Previously, Jen was the Director for Quality Improvement at Seneca Family of Agencies–one of the… Read More

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 age—less than 18 months—it’s hard to track the impact of the implants.   And it is more also challenging for therapists to communicate with, and counsel, parents who want to understand how their child is responding to the… Read More

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 often struggle to keep the best interests of children and families in mind.

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 for the monitoring of clinical and functional outcomes. As a communication tool, they facilitate the linkage between the assessment process and design of individualized service plans.

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, I learned the value of using the language of the ANSA to talk to my program managers and to Anna herself about decisions regarding her care. As I grew in my work with her, I discovered ways to… Read More

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 in our system of care. In my first years working in public mental health, a woman (who we will refer to as Anna for this post) was assigned to my caseload who was in a state hospital. … Read More

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 up such emotions, why do we still use them for testing?

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 of Chicago, and Tiffany Goodpasture, Director of Organizational Culture and Workforce Safety at TN Department of Children’s Services, had the opportunity to locally share the Safe Systems Improvement Tool (SSIT). 

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 number of prior initiatives over the past decades have had a similar focus.  All of them sound appealing.  The very idea that health care should be about anything other than the health care needs of the individual… Read More

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 don’t belong here.”  I thought. “Everyone else has so much more knowledge and experience. I’m just a parent.” This wasn’t an unfamiliar feeling. I’d felt it at most of our intake appointments and treatment planning meetings for… Read More

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.  Many situations might contribute to this experience: the recent loss of a loved one, the end of a significant relationship, or the contraction of one’s circle of friends might precipitate feelings of distress during the holidays.  Individuals… Read More

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 cup design each November.  In 2015, the company decided to remove “traditional holiday symbols” in favor of what it called a “more inclusive” blank canvas of red. Protests began immediately, claiming overzealous political correctness along with a… Read More

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 holidays.  That same day, The New York Times ran an article featuring the powerful perspectives of four Native American writers on the holiday.  As Sherman Alexie, one of the writers, said in that article, for many Native… Read More

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 a bond with Stephen and Yvonne.   Combining our presentations was an easy affair since we shared a common focus on the two individuals in the therapeutic exchange arena: the practitioner who oversees care provision and serves as… Read More

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 from a national survey on unaccompanied youth homelessness in America. The study captures youth homelessness broadly, including sleeping on the streets, in shelters, running away, being kicked out, and couch surfing. Overall, Chapin Hall’s work suggests that… Read More

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 perplexed as to how I had planned for Italy and landed in Holland instead. Holland is not Italy and yet, when you look around, you find beautiful tulips and intriguing windmills. Reflecting back, it’s as if we… Read More

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 age of two, and I have always loved learning new information. In kindergarten, my teacher did not know what to do with me since I could already read, write and perform simple math calculations. I was tested… Read More

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 to help plan next year’s conference! General Conference Survey: https://redcap.uchicago.edu/surveys/?s=T4KPN3TKCL Individual Session Surveys (repeat to reflect all sessions): https://redcap.uchicago.edu/surveys/?s=WAJRWJNXTM  All conferences have key note speakers, a variety of presentations, and even good food J, but what makes the… Read More

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!

Principle 5. The What, not the Why

Communimetrics Key Principle #5

Principle 4. Consider Culture and Development

Communimetrics Key Principle #4

Principle 3. Describe the Person, NOT the person in care

Communimetrics Key Principle #3

Principle 2. Rating for Action

Communimetrics Key Principle #2

Principle 1. Item Selection

Communimetrics Key Principle #1

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 the story of a traumatized youth from early childhood to older adolescence, illustrating a wide range of complex trauma reactions as well as interactions with providers working in multiple service settings. We are excited to announce the… Read More

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 social services, I started up a conversation with him after his lecture, on the business model he was using to roll-out CANS.  I was confused: he doesn’t have an app?  He gives away the form and manual… Read More

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 and plans that they experience each and every day The struggles, challenges and especially STRENGTHS they see for their child, come into play. We learn together by rating whether there is a need. By encompassing a reflection… Read More

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 approaches and reports from many sites around Italy who are initiating the use of the CANS in a collaborative approach to better serve children and families. Antonella Costantino, M.D. led the conference. Dr. Costantino is the Director… Read More

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 as sexual or physical abuse, witness to violence, or natural disasters to the divorce of parents or a change in schools. Any one of these events (and many others) can cause children to have strong feelings and… Read More

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 services for children and families, the conference brought together individuals, agencies, and organizations from all over the world come together to share their work and educate the public. The Center for Child Trauma Assessment, Services, and Interventions,… Read More

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 on expectations for, and the execution of, specific treatment-related activities with the hope that they lead to particular transformational outcomes. However, not all data systems create or manage episodes in a clear and consistent manner. Following our… Read More

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 quality of care offered to the children and family we serve. Our success depends heavily on the ability to take all of the data, interpret it, evaluate it, and share it in ways that are most useful and… Read More

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.   A case worker engages a child in child welfare.   While these personal relationships are clearly powerful and important in creating transformational experiences, we also work in environments in which the professionals change frequently.   It is not uncommon… Read More

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 effect is not completely predictable. A helping system, such as a social service agency attempting to support a child who has been traumatized by abuse or neglect, can be viewed as a complex system. In this system… Read More

What’s So Hard about Hope?

Thank you to Dr. Toni Heineman for sharing your work!

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 at the University of Chicago we choose to honor our Team members. When we use the term “Team,” we think in broad and inclusive terms, starting with Dr. John S. Lyons, spearheading the Communimetric Theory, to TCOM… Read More

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 and populations within your own data, and learn what other techniques are being used by other nerds, just like you, out there in some other social service agency? Well if so, we have the support group for… Read More

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 older we can celebrate this holiday with friends (Pal-entine’s/Gal-entine’s day), family, and/or a significant other by sharing gifts or other displays of affection. Harvard University conducted a study on how our social connections have the power to… Read More

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 Washington, D.C., along with many others who stood up and marched for unity, connection and caring. The march itself sprung up out of a longing for social and interpersonal connection and their potential to ameliorate societal fracturing. … Read More

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. Nearly always with children, and sometimes with adults, it can be just as vital to consider the resources and needs of those entrusted to care for the individual.  If you interact with the various TCOM tools, you… Read More

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 upon the work of Dr. King, and so many others who worked tirelessly to ensure values of equality and tolerance. This is a holiday that celebrates Dr. King’s DREAM of a world that can triumph over race, religion, status,… Read More

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 of using aggregate data about the actual people served to achieve that alignment.   When individuals with complex needs enter care and the intensity of that care is assigned, aligning their voices, the voices of their families, and… Read More

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 was transformed by stakeholder empowerment and innovation and the potential for TCOM to transform systems of care and build trust among system stakeholders, were striking to our team. General Motors opened their Fremont factory doors in 1980…. Read More

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 between COMPLICATED and COMPLEX systems. In systems research two things are common to both complicated and complex systems.    First both have many component parts most of which have different functions in the overall operation of the system.     Lots… Read More

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 to you all are for a truly relaxing enjoyable time of year. So while you are writing down your ‘New Year’s Resolutions’ you can also take time to enjoy the IMDS Winter 2016 Newsletter! These past few… Read More

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 at:  http://www.saavsus.com/adolescent-coping-with-depression-course The CWD-A is designed for use with groups of four to eight adolescents, or it can be modified for use on an individual basis. The treatment sessions are conducted as a class in which a… Read More

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 creativity, continuous learning, openness to new opportunities to add value for their customers, and risk tolerance through effective risk management. This is the only way these companies can sustain themselves and grow in the challenging economic environment… Read More

“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: Tristan Keelan We just finished the 5th annual user conference, now known as TenEleven CONNECT, and among the many highlights there is one in particular I have found myself talking about the past few days to friends… Read More

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 to managing challenging cases?   Most program managers have had this type of experience.    One of the key drivers of this phenomenon is that we manage caseloads consistent with service system thinking.     For example, each case manager might… Read More

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 role of the CANS and TCOM in New Jersey. Since 2008 when full statewide implementation of the system of care was completed, the number of children and families served in case management programs in New Jersey has… Read More

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 common framework for understanding and improving decision-making is critical to system adaptation and child and family success. Responsibility and empowerment to make decisions cannot be left up to people at only one level of the system. Multiple… Read More

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 completed CANS assessment, and enhancing supervision around assessment and planning using the CANS.  Staff worked in teams to develop skills around quick and accurate completion of the tool, engagement of the child and family team, developing effective… Read More

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 was invited to speak at the conference. Here are some highlights from his presentation: The system (of behavioral health) has been traditionally designed to focus on the negative. Although people do not practice this way, the behavioral… Read More

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 of Independence reads in part “all men are created equal…” which is a formal statement of the equality doctrine (provided we take “men” as meaning humans and ignore the original exclusion of all other groups). An alternative… Read More

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 of this information is new, but we continually strive to make the work we do, work for you. CORE PRINCIPLES Human serving systems and enterprises have a primary mandate of facilitating and supporting personal change (transformation). Human… Read More

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 prevent these behaviors in the future.     This logic is very intuitive and quite appealing to policy makers and the larger population.   This perspective has led to the concept of identifying ‘criminogenic’ behavior.  That is, identifying the predictors… Read More

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 come great RESPONSIBILITY. The TCOM Tools help users obtain great information about the child and family. But, what is the distinction between collecting/reporting data (outcomes measurement) and using it at ALL levels of a system (outcomes management)… Read More

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: We are the Praed Foundation and Chapin Hall at the University of Chicago.   Founded in 1998, the Praed Foundation’s mission is to support effective human serving systems through the use of collaborative outcomes management approaches.  Founded in… Read More