By: Beth Anne Nichols, NH Mental Health Block Grant Plan Administrator New Hampshire Department of Health and Human Services In the rugged landscape that is New Hampshire’s mental health system, serious mental illness (SMI) is a powerful thing. On an individual level, an adult experiencing SMI becomes eligible for community-based psychiatric rehabilitation. Psychiatric rehabilitation consists of an array of services reimbursable by NH Medicaid alone. The privately insured may access these services via a sliding fee scale – if they are assessed and determined to be SMI. The capstone of NH’s Community… Read More
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.
Meet some of your #TCOM2018 Presenters! Featured in this post: Betty Walton, Gina Doyle, and Wendy Harrold
Meet some of your #TCOM2018 Presenters! Featured in this post: Emily B. Shapiro & Melissa Villegas Emily B. Shapiro is a Quality Improvement Associate at Jewish Child and Family Services (JCFS) located in Chicago, IL. She has experience in qualitative research, project management, and evaluation consulting for nonprofit and philanthropic organizations. She provides direct quality improvement and evaluation support to a K-12+ Therapeutic Day School and programs serving adults and children with disabilities. Emily earned her Masters of Education from the University of Illinois Chicago’s Measurement, Evaluation, Statistics, and Assessment (MESA) program in… Read More
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.
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.
Over the last 10 years, behavioral health systems and organizations have increasingly adopted the Adult Needs and Strengths Assessment (ANSA) to support planning, to monitor progress, and for quality improvement initiatives. However, research related to the ANSA remained scarce. This gap was recently been addressed through a publication by Betty Walton, PhD, and Hea-Won Kim, PhD, from the Indiana University School of Social Work. “Validating a Behavioral Health Instrument for Adults: Exploratory Factor Analysis”, published online in the Journal of Social Service Research in March 2018, examined the psychometric properties of the… Read More
Examining the Effectiveness of Integrated Behavioral and Primary Healthcare Treatment-A Brief Summary
Using subscales of the Adult Needs and Strengths Assessment (ANSA) and an author created Crisis Event measure, holistic client functioning was assessed for persons diagnosed with comorbid serious mental illness (SMI) and primary healthcare diseases. An ex post facto, quasi-experimental, pre- and post-test design was selected to compare the effectiveness of an integrated behavioral and primary healthcare (IBPH) treatment approach to a treatment-as-usual (TAU) approach, across a 12-month treatment period.
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
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
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?
by: Svetlana G Klimanova, M.S. Contact Svetlana, firstname.lastname@example.org *5/8/2017 Update* Following a great question from one of our followers, Svetlana provided the following articles as additional resources on adapting the CANS and ANSA for Russian implementation. The World’s Youth The Russian Education System Described and Compared with the Dutch System Alternative Education: Comparative Study of the American, Russian, and Kazakhstan Experience Religion and Magic in Socialist and Post-Socialist Contexts and, research done by Professor Alena Ledeneva at University College London ______________________________________________ The Adult Needs and Strengths Assessment (ANSA) and the Child… Read More
Dr. John Lyons was in Muskegon, Michigan conducting a training for Lakeshore Regional Entity. They are planning to implement the ANSA across all 5 agencies in western Michigan. Thanks to Paul Duff, we are able to learn more about what is going on in the world of TCOM! Lakeshore Regional Entity first heard about TCOM and the tools (CANS and ANSA) in the summer of 2015 from the work done in Indiana. At the start of 2016, they were able to refocus their resources on finding ways to revamp their adult care… Read More
Dr. Suzanne Button has made it to Maine! [11/3/2016 Day 2 of Suzie in Maine] More than 120 case managers and supervisors are practicing at the second day of ANSA General Training. There is a lot of great discussion about trauma informed language and TCOM this week! Maine has a passionate group of case managers across the state. With that in mind consider this: What does transformation look like in adults with persistent struggles? [11/1/2016 Suzie in Maine updates] Training has begun for Maine’s Community Support Services’ ANSA Implementation. 4 days-2 Basic Certification… Read More
ANSA – Adult Needs and Strengths Assessment The ANSA is another TCOM Tool that was developed for adult’s behavioral health services to support decision making, including level of care and service planning, to facilitate quality improvement initiatives, and to allow for the monitoring of outcomes of services. The ANSA is currently used in a number of states and Canada in applications hospitals, emergency departments, psychosocial rehabilitation programs, and ACT programs. BUT, today Dr. John Lyons is out in San Leandro, California working with ANSA Trainers. We have great partners in Alameda County…. Read More
Holding onto the remnants of summer 2016, John is in the historical town of Buford, Georgia, attending the Behavioral Health Symposium hosted by the Department of Behavioral Health and Developmental Disabilities (DBHDD). This is a two day conference aimed at informing professionals of best practices in delivering services and supports. Missed the conference??? The team at Community Friendship Incorporated has shared a snip of their presentation with us! mh-symposium_ansa-presentation_10-7-16