The 20th Annual TCOM Conference
Climbing the HillS of System Change
October 2 - 4, 2024
(Virtually)October 7-8, 2024
San Francisco, California
Join Us At
The 2024 Annual TCOM Conference
We are excited to announce the celebration of 20 years of collaboration with our TCOM community as we Climb the Hills of System Change together.
About the Conference
The University of Kentucky Center for Innovation in Population Health and the Praed Foundation are hosting the 20th International Annual TCOM Conference. Presentations at the annual conference reflect the use of Transformational Collaborative Outcomes Management (TCOM) and its tools. TCOM is the conceptual framework for the ANSA, CANS, FAST, SSIT, CAT, and other TCOM organizational tools. It is used to manage systems, organizations, and programs whose mission is to help people change their lives in a meaningful way.
Meaningful Discussions
Discuss how to communicate with families/individuals and other professionals in the field through a common language.
TCOM Framework
Review the TCOM framework and how it guides the development of a shared vision for the people we serve, providers, and systems.
TCOM Tools
Describe how to implement TCOM tools effectively.
Data Driven Outcomes
Use person-centered data to show change and outcomes.
Keynotes Speakers
Children and Family Services Division
California Department of Social Services
Thursday, October 3
10:45 AM - Nikko Ballroom
Department of Social Services
Thursday, October 3
10:45 AM - Nikko Ballroom
A powerful story of innocence, bravery, incredible strength, survival, and hope, against all odds.
A Conversation with Richie Daiches Barlow
An award-winning entrepreneur, Richie Barlow, is to celebrate his 40th birthday in July, a landmark date he never thought he would reach. Many were the times – when struggling to survive a desperate childhood and adolescence – that he clinged to a dream of simply making it to the age of 22.
As a young, innocent boy, Richie was abandoned by his abusive mother and stepfather and placed in an inadequate care system; he was sold into child prostitution and criminality while the state apparatus knowingly failed him. At the tender age of 9, he made a promise to himself to survive his ordeal and give himself the life he dreamt of and that he deserved like anyone else. Richie often turned to music and films as a way of escapism and without the love and hope shared by surrogate parents Pauline and Anna, Richie would have become just another tragic statistic.
“There are some key people in my life without whose support and interventions I would not be here today. They were flickers of hope in my darkest and most desperate times and I cannot thank them enough for the kindness they showed me when others could not have cared less. My story shared in this book is dedicated to all who gave me hope and to those who, by the failures of adults and authorities, didn’t make it to tell their truths.”
Listening to Transformation Frustration: Rethinking Functions, Fidelity and Funding
by Nathanial Israel, Ph.D.
‘Transformation’ has been the explicit goal of policymakers for the past twenty years. Yet nearly all evidence points to broad and systemic failures to provide access to effective behavioral health treatment to America’s youth and families. Listening to the frustrations of families, youth, treatment providers and public administrators provides us with actions to re-set the course for genuine change. This keynote describes a series of practical actions for system and interpersonal transformation.
Systems Approaches in Social Needs Screening and Referral: Challenges and Opportunities
by Rachel H. Graham, Ph.D.
&
Emily Clear, MPH, CHES
Addressing unmet social and medical needs through cross-sector collaboration has been highlighted as one way to reduce inequities in the delivery of health and social services within and across communities. Evidence is still emerging, and even less is known, about how collaborative networks that address unmet social needs may facilitate progress toward mitigation of inequities in health outcomes that arise from community-level systemic factors. This presentation will highlight recent policy changes that encourage strategies addressing unmet social needs and the importance of using systems approaches. Key challenges and opportunities for effective social needs strategies will be discussed.
How the California Permanent Foster Care Rate Structure is informed by the CANS
by Ms. Sara Rogers
&
Angie Schwartz, JD
California has been operating under an interim rate structure since 2017 and had a statutory mandate to establish a permanent foster care rate structure. The permanent rate structure that CDSS developed is a tiered structure that assesses a child or youth’s needs and strengths via the CANS assessment and delivers a monthly rate informed by that assessment. This presentation will go into detail about how the CANS assessment informs the permanent rate structure.
Building a Culture of Safety: Transforming Child Welfare in Los Angeles
by Diane Iglesias
In an era where the safety and well-being of our children are paramount, this keynote speech will explore the critical intersection of safety culture and child welfare in Los Angeles. Ms. Iglesias will discuss Los Angeles’ journey of applying safety science throughout the child welfare agency to improve child safety and reduce maltreatment fatalities by strengthening families and developing and promoting innovations in child protection. This presentation will begin by examining where Los Angeles began in the child fatality review process and discuss current practices that have developed, alongside participation in the National Partnership for Child Safety, to support better decision-making. We will delve into the concept of safety culture—how it is defined, its significance in child welfare, and its role in shaping policies and practices within the community. Key reforms initiated in response to identified gaps in the system will be outlined, showcasing innovative approaches and collaborative efforts among government agencies, non-profits, and community stakeholders. The speech will emphasize the importance of fostering a proactive safety culture that prioritizes prevention, early intervention, and resilience-building among families. Attendees will leave with a deeper understanding of the multifaceted nature of child welfare in Los Angeles, as well as actionable insights on how to contribute to a safer and more nurturing environment for staff, and the children and families we collectively serve.
TCOM: Days of Future Past
by John S Lyons, Ph.D.
In this keynote, I will discuss the history, present state, and future opportunities with TCOM. The origin story has always been one of collaboration and innovation. Rather than strategic planning we have used strategic readiness to guide the evolution of the work. Teaching and coaching has evolved and will continue to do so. The worldwide pandemic rapidly sped the evolution of the teaching and certification process. The hesitancy of normal science to embrace a shift from logical positivism to more current philosophies of science continues to impede the embrace of our work in the traditional research community. However, it is becoming crystal clear that traditional methods have consistently and systematically underestimated the true impact of helping interventions, at least in behavioral health. The advent of artificial intelligence and the methodologies this field has developed offer unmatched potential for improving lives not only for those we serve but also to their helpers. More than anything, though, we have continued to learn that the world is relational and relation take time and nurturance.
Hotel Nikko
San Francisco Hotel in Union Square
Hotel Nikko's FAQs
Does Hotel Nikko have an airport shuttle?
While the hotel does not have a direct airport Nikko shuttle, third-party shuttles or shared-ride vans are available from 4:30AM-11:00PM(PDT) daily. If you are arriving in the Domestic Terminal the pick-up location will be on the Arrivals Level terminal curbside. If you are arriving in the International Terminal pick-up will be located on the Arrivals Level roadway center island. The cost to take a shuttle from SFO to Hotel Nikko ranges between $16 to $20 per person.
Additionally, we are conveniently located two short blocks from BART (the Bay Area Rapid Transit) at the Powell Street station. BART trains leave directly from SFO and connect with OAK via shuttle. Please see Schedules.
How much is parking at or around the hotel?
24 hour Valet Parking is available for $65.00 plus tax (subject to availability). There will be additional charges for over sized vehicles. Valet price also includes unlimited in and out privileges. We do not accept RV’s.
Our valet entrance is at 180 Ellis Street, just before Mason Street. All of the hotel garages in the area have comparable rates; there is a public 1,100-car Mason O’Farrell garage directly across the street. Please feel free to contact our concierges for more information at ConciergeHNSF@hotelnikkosf.com or consult www.sanfrancisco.bestparking.com
What is Hotel Nikko's check in and check out time?
Check-in time at the hotel is 3 p.m., while check-out time is 11 am. Early check-in / late check-out is allowed for a fee and subject to availability. Early check-in is available upon request and based upon availability for a $50 fee plus tax.
Valid government-issued photo identification (state-issued ID, drivers license, passport, etc) and a valid credit card that matches the photo identification is required upon check-in for all guests. Debit and credit cards will be charged at check-in for the amount of your stay and authorized for $125 per day to cover incidentals. The authorization will hold the funds until check-out, at which time the amount incurred for incidentals will be charged. The release of unused authorized amounts may take anywhere from two to thirty days by your financial institution.
If you are under the age of 18 and not traveling with an adult, Hotel Nikko San Francisco requires a parent or guardian of the minor, or another responsible adult, to assume, in writing, full liability for any and all proper charges and other obligations incurred by the minor for accommodations. We ask that you fill out the form below and present it to Front Desk upon your arrival.
How do I send a package to the hotel to be there on arrival?
If you have a reservation at the hotel, you can send packages to yourself prior to your arrival. When addressing these packages to yourself, please note on the package: “For guest arrival on _____” with your arrival date. Upon arrival at the hotel, your packages will be ready for you at our business center on the lobby level. Handling fees apply.
- 1 – 10 lbs.: $8 per piece
- 11 – 20 lbs.: $10 per piece
- 21 – 40 lbs.: $25 per piece
- 41 lbs. plus: Contact hotel for prices
- For very large boxes, storage fees may apply
How far is San Francisco Airport from Downtown?
San Francisco International Airport (SFO) is about 14 miles south of downtown San Francisco and the Financial District. You can easily take a cab from Hotel Nikko for about $45-50 or hop on the nearby BART (Bay Area Rapid Transit) at Powell Street, two blocks away, for $8.95 for an adult ticket. You can also take the Super Shuttle to SFO for about $32 to $34 one way.
What’s San Francisco’s weather like?
Spring weather is typically cloudless and mild, and contains some of the warmest and driest days of the year. Summers are overcast and cool. Fall offers warm and sunny days, and mild and clear nights. During the winter months, rain and storms are abundant, with crisp and sunny days in between, and the weather is considered mild compared to the rest of the country.
What is San Francisco's time zone?
San Francisco’s time zone is PDT – Pacific Daylight Time, which is when daylight saving time is observed (from early March to early November).
Wondering what time it is in San Francisco right now? Click here
San Francisco International Airport
(SFO)
Bay Area Rapid Transit
(BART)
Conference Program Committee
Will Walker, LMSW
Administration Division Director
Harris County Resources
for Children and Adults
2024 TCOM Conference
Program Committee Chair
Lizzie Minton, DSW, LCSW
Child Welfare Clinical Consultant
University of Louisville
2023 TCOM Conference
Program Committee Chair
Lynn Thull, Ph.D.
President, Secretary, LMT & Associates Consulting, Inc.
2025 TCOM Conference Program Committee Chair
Sara C. Miller, LICSW MSW
CFS Advisor
CFS Practice & Operations
Alacia L. Eicher, MA
Administration, Learning, and Development
Allegheny County
Department of Human Services
Nichole D. Knepp, MSEd, NCC, SW, LPC Supervisee
Community-Based Services
Assistant Director
Children’s Home Society of South Dakota
Cynthia Wong-Blye, LCSW
Division Chief
Risk Management Division
Los Angeles County
Department of Children and Family Services
Dan Lakin, PhD
Director of Outcomes & Evaluation
Pacific Clinics
Brandi N Young
CANS Program Specialist
Texas Department of Family and Protective Service
Cinthya Chin Herrera, Psy.D.
Director of Clinical & Community Training at WestCoast Children's
April Fernando, PhD
Associate Director
Center for Innovation in Population Health
Associate Professor
Health, Management & Policy
College of Public Health
University of Kentucky
Santana Jones
Associate Policy Analyst
Center for Innovation in Population Health
College of Public Health
University of Kentucky
Mark Lardner, LCSW-C
Senior Policy Analyst
Center for Innovation in Population Health
University of Kentucky
Margaret McGladrey, PhD
Research Assistant Professor
Center for Innovation in Population Health
Criminal Legal System Team Faculty Co-lead, HEALing
Communities Study Kentucky
Department of Health Management and Policy
University of Kentucky
Lynn Steiner, MSW
Senior Policy Analyst
Center for Innovation in Population Health
University of Kentucky
Certificate of Continuing Education (CE)
This year, the conference will provide the attendees with a certificate of continuing education at No Additional Cost.
Once you have attended the qualifying session, using the conference application, you will fill out the survey.
That’s All!
We will send you the certificate of continuing education via email soon after the conclusion of the conference.
Center for Innovation in Population Health has been approved by NBCC as an Approved Continuing Education Provider™, ACEP No. 7574. Programs that do not qualify for NBCC credit are clearly identified. Center for Innovation in Population Health is solely responsible for all aspects of the programs.
PsyD CE Credits
Offered only in person to California Residents and Not Available for Virtual Sessions
The sessions are marked on the schedule and the survey is accessible through the conference app.
WestCoast Children’s Clinic is approved by the California Psychological Association to provide continuing professional education for psychologists. WestCoast Children’s Clinic maintains responsibility for this program and its content. Complete information about this program can be obtained prior to the workshop by contacting us at training@westcoastcc.org.
Tentative Schedule
In-Person
7 - 9 AM (PDT)
Registration /Breakfast
9 - 11:30 AM (PDT)
Embedding Transformational Collaborative Outcomes Framework (TCOM) philosophy in the design of a system of care
(Short Course)
T-HIVE Roundtable: Enhancing TCOM Training through Collaboration and Innovation (Roundtable)
A New Vision for Analyzing CANS Data (Short Course)
Community Engagement for Enhancing Fathers’ Capacity to Promote Child Wellbeing
(Short Course)
Using Critical Incidents to Improve Organizational Culture: An Introduction to the Safe Systems Improvement Tool
(Short Course)
Critical Race Theory looks at Systems Change: Child Welfare, Law Enforcement, and Education
(Short Course)
11:30 - 1 PM (PDT)
Lunch
(on your own)
1:30 - 4 PM (PDT)
Transforming Futures: Bridging Systems in Juvenile Justice and Children's Behavioral Health for Sustainable Change in New Hampshire
(Roundtable)
Cable Car Adventures: Taking TCOM to New Heights
(Short Course)
Centering Voices of Individuals with Lived Expertise: Lessons Learned through Safe Systems Mapping for Improving Father Engagement in Child Welfare and Family-Serving Organizations
(Roundtable)
Scaling the Heights: trauma-informed care in QRTP settings and Residential Intervention
(Roundtable)
#ItsNotBinary - The Role of Neurodiversity and NonBinary Thinking in Life and Work
(Short Course)
Critical Race Theory looks at Systems Change: Child Welfare, Law Enforcement, and Education
(Roundtable)
4:30 - 6:30 PM (PDT)
Networking Reception & Poster Session
Conversation with
Richie Daiches Barlow
7:30 - 9 AM (PDT)
Breakfast
Morning Mindfulness
8:45 - 9 AM (PDT)
Opening Remarks
Dr. John Lyons
9 - 9:30 AM (PDT)
Keynote
Dr. Nate Israel
9:35 - 10:05 AM (PDT)
Keynote
Dr. Corinne L. Andriola
10:10 - 10:40 AM (PDT)
Keynote
Diane Iglesias
10:45 - 11:15 AM (PDT)
Keynote
Sara Rogers, Angie Schwartz
11:20 - 12:15 PM (PDT)
Awards Luncheon
12:15 - 12:45 PM (PDT)
Keynote
Dr. John Lyons
1 - 2 PM (PDT)
1hr. Breakout
ID 32 - Concurrent Implementation of revised TCOM Tools and the CCBHC Model
ID 63 - Navigating the Terrain: From the Base to the Summit of Behavioral Health Transformation
ID 67 - Using Precision Analytics with the CANS to Advance Practice and Outcomes
ID 7 - Cafe Con TCOM: Utilizing the TCOM Tools with Spanish Speaking Families
ID 2 - “We cried together”: Exploring turnover decisions, retention decisions, and other lived experiences of the majority-female child welfare workforce.
ID 51 - Conquering the Mountain of Assessment Integration: One Collaborator At A Time
2:15 - 3:15 PM (PDT)
1hr. Breakout
ID 16 - Fostering System Change in Children Under the Age of 6 through Screening and Service Matching with a Brief Mental Health and Developmental Screening and Triage Tool: The HEADS-ED Under 6
ID 41 - Conquering the Mountain of CANS Implementation
ID 42 - How Integrating Lived Experience and Creative Child and Family Teaming have led to Improved Permanency and Reunification Outcomes in Shasta County
ID 21 - Harnessing CANS to predict successful treatment outcomes and suicidal risk
ID 61 - Lessons Learned from the First 18 Months of Ohio RISE: From Development to Implementation to Outcomes
ID 35 - The Golden Gate to Effective Casework in WV: Using the WV FAST Summary Tool and Technical Assistance to Enhance the Case Planning Skills for Youth Services
ID 10 - Moving Toward Values Based Care: Using the “How to Build the Car while Driving it Uphill” Approach
ID 74 - Understanding Adjustment to Trauma (Stress Symptoms) in Children with and Without Direct Trauma Experiences
3:30 - 4:30 PM (PDT)
1hr. Breakout
ID 33 - Measuring Mental Health Provider Accountability: Lessons from School Accountability
ID 68 - CANS As a Measure of Child Well-being in Child Welfare
ID 14 - Climbing the Hill of System Change using the Art of War and Thirty-Six Stratagems
ID 9 - Climbing the FAST Mountain in Tennessee
ID 48 - Participatory User Experience Evaluation of the Gemma Services Insight Generator Tool
ID 37 - CANS 2.0 Assessment Considerations when working with LGBTQIA+ Youth
ID 70 - Supervisors: Engage your Clinicians in Their CANS & ANSA Data
ID 36 - Creating Outcomes Dashboards: A Culture Shift for Assessing Program Change
4:45 - 5:15PM (PDT)
Optional Trainer Check-in
7:30 - 8:30 AM (PDT)
Breakfast
7 - 7:45 AM (PDT)
Morning Mindfulness
8:30 - 9:30 AM (PDT)
1hr.Breakout
ID 29 - Applying the Law of Mount Everest to Systems Change
ID 75 - Turning Patterns into Pathways: Refining Latent Class Analysis for Decision Support in TCOM Implementations
TCOM Trainer Booster
ID 19 - Ascending the Assessment Summit: A Jaunt Through Ambivalence and Empathy in Motivational Interviewing
ID 53 - The Role of Adverse and Positive Childhood Experiences in a Broad Range of Youth Health Items - A Visual Data Mining Approach
ID 56 - How Can We Change the System Without Working Together? The State of Collaboration Between Child Welfare and Behavioral Health Partners
ID 71 - Conquering Hills of Self-harm Using Horses to Build Strengths
ID 38 - The Impactful Role of Strengths in the Well-being and Outcomes of Youth Involved in the Foster Care System
9:45 - 10:45 AM (PDT)
1hr.Breakout
ID 26 - Staying Golden: Rolling with resistance in collaboration with providers clients, and case workers
ID 39 - Navigating New Jersey’s Seas and Summits: Guiding Families Through the Peaks and Valleys of Change
ID 50 - Dangerousness, What is there to Fear?
ID 62 - Is ADHD misdiagnosed among youth exposed to adverse childhood experience?
ID 76 - Is A Developmental Psychopathology Framework the Future of Transformational Collaborative Outcomes Management?
ID 77 - Wraparound-CANS-Can: How Wraparound and CANS can dance together.
ID 8 - QRTP in Tennessee: Trekking towards BEST Practice in Placement Decisions
11 - 12 PM (PDT)
1hr.Breakout
ID 55 - Predicting Runaway Behavior In West Virginia Youth
ID 22 - From Principles to Practice: Using a Theory of Change for Measurable Quality Improvement in Residential Interventions
ID 44 - Scoping Review of Machine Learning Approaches to Predict Completion of Substance Use Treatment
ID 6 - CFT and CANS Learning Collaboratives: A Collaborative Approach to Deepening California’s Integrated Practices
ID 65 - Balancing Compliance and Connection: A Bottom-Up Approach to System Change in the Assessment Conversation
ID 79 - Asynchronous Versus Synchronous Training: Effect on TCOM Certification Reliability Scores
ID 23 - Helping Each Other Reach the Heights: Using Collaboration as a Foundation for Curriculum Development
1:30 - 2:30 PM (PDT)
1hr.Breakout
TOT Completion Session
Cloud Gathering (Virtual)
8:30-9 AM(PDT)
11:30-12 PM(EST)
Virtual Keynote by
Dr. Elizabeth Riley
9:15-10:15 AM(PDT)
12:15-1:15 PM(EST)
ID 52 - Photovoice application to youth and community development
ID 68 - CANS as a measure of child well-being in child welfare
10:30-11AM(PDT)
1:30-2 PM(EST)
Virtual - Luncheon
Keynote by
Dr. John Lyons
11:10-12:10 PM(PDT)
2:10-3:10 PM(EST)
ID 69 - Change in Child and Adolescent Needs and Strengths (CANS) scores over time among youth in out-of-home-care: A latent growth curve analysis
ID 3 - The Importance of Life/Work Balance for Health, Job Satisfaction, and Productivity
12:30-1:30 PM(PDT)
3:30-4:30 PM(EST)
ID 22 - From Principles to Practice: Using a Theory of Change for Measurable Quality Improvement in Residential Interventions
8 - 9 AM(PDT)
11-12 PM(EST)
ID 43 - Resilience Rising: Overcoming Stigma, Fostering Hope, and Cultivating Healthy Outcomes from Adverse Childhood Experiences
ID 18 - Incorporating Idaho’s Parental Voice in the Idaho CANS
9:10-10:10AM(PDT)
12:10-1:10 PM(EST)
ID 79 - Asynchronous Versus Synchronous Training: Effect on TCOM Certification Reliability Scores
Part 1: eQIP Roundtable
10:20-11:20AM(PDT)
1:20-2:20PM(EST)
ID 76 - Is A Developmental Psychopathology Framework the Future of Transformational Collaborative Outcomes Management?
Part 2: eQIP Roundtable
11:30 -12 PM(PDT)
2:30 - 3 PM(EST)
Virtual Keynote
by
Dr. Rachel Hogg-Graham, and
Emily Clear, MPH, CHES
Systems Approaches in Social Needs Screening and Referral:
Challenges and Opportunities
12:30-1:30 PM(PDT)
3:30 - 4:30 PM(EST)
Part 1: T-HIVE Short Course: Enhancing TCOM Training through Collaboration and Innovation.
1:30 - 2:30 PM(PDT)
4:30 - 5:30 PM(EST)
Part 2: T-HIVE Short Course: Enhancing TCOM Training through Collaboration and Innovation.
Registration
To register for the 2024 TCOM Conference, select the options below. If you have any questions about the conference, please contact us!
Student
(3-Day In Person & Virtual)-
This ticket is designated for students with a valid student ID for the in-person October 2-4, 2024
-
Includes the Virtual TCOM Conference October 7-8, 2024
-
Must use .edu email to register
3-Day In Person
(3-Day In Person & Virtual)-
Registration for the 3-day in-person admission
-
Includes the Virtual TCOM Conference October 7-8, 2024
Group Rate
(3-Day In Person & Virtual)-
Discounted ticket of 30% off for groups of 5 or more, to the 3-day in-person admission
-
Includes the Virtual TCOM Conference October 7-8, 2024
2-Day Cloud Gathering
(Only Virtual)-
Includes ONLY the Virtual TCOM Conference October 7-8, 2024
-
Price does not include access to the in-person TCOM Conference
Per Day In-Person
(1-Day In Person & Virtual)-
Registration for 1-day in-person admission
-
Includes the Virtual TCOM Conference October 7-8, 2024
Sponsors
If you are looking to build awareness of your organization among those who utilize the TCOM Tools, then we strongly encourage you to collaborate with us by becoming one of our valuable sponsors for this year’s conference. Our sponsorship packages offer a wide range of opportunities adapted to your needs and the level of visibility that you want to reach.














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