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THEORY OF CHANGE UPDATE June 9, 2010 Reporting Period: April 2010 - May 2010 STRATEGY 1 - FAMILY AND YOUTH INVOLVEMENT Outcome 4: Increased participation of families and youth in the development of the system

Data Driven Successes/Challenges •

We are working on increasing youth and family participation in the System of Care by providing opportunities for skill building: o Family members participated in three legislative hearings giving personal testimony on the proposed 53.7 million dollar cut to DCH non-Medicaid general funds. Multiple family members wrote letters to representatives and made calls requesting supporting Michigan families and youth by rejecting the proposed cuts. After several hearings held between April and May, the appropriations committee rejected the proposed cuts. o Eight family members participated in the “Walk a Mile in My Shoes” rally. o One local family member went through the interview process and was selected to be on the ACMH Board of Directors, and one local family member is going through the interview process now. o 24 family members participated in the following trainings:  DCH Parent Support Partner  Cohort 2 of Change Management  MI Leadership Institute  Cohort 1 and 2 Strength Based Learning Opportunity Youth direction and participation in Children's Mental Health Awareness Day artwork and talent show skits.

Other Highlights • Youth presentation on Children's Mental Health Awareness Day to Lansing City Council and Ingham County Board of Commissioners to pass resolutions recognizing May 13th as Children's Mental Health Awareness Day. Recommendations • Families would like to have sibshops offered. The ACMH family advocacy program is looking for a partner within the community to help facilitate sibshops, as well as a space to hold them. [Approved by Stakeholder Group 06/09/2010.] •

The Family Council would like to partner with community agencies this year to hold one big picnic this summer. It would give us a chance to combine resources, and reach more families. [Recommendation modified by Stakeholder Group: Family Council to hold a larger family picnic with more agency involvement. Partner agencies will promote and support the picnic within their respective agency. Approved by Stakeholder Group 06/09/2010.] 1


STRATEGY 2 - DEVELOPING NEW AND STRENGTHENING EXISTING SERVICES/SUPPORTS, AND INTEGRATING POLICIES AND PROCEDURES THAT ARE OUTCOME-DRIVEN Outcome 1: Maximized functioning of children with SED and their families Outcome 2: Reduced need for out-of-home placements Outcome 5: A unified, family driven, youth guided, and culturally and linguistically competent system of care for children with SED and their families

Data Driven Successes/Challenges Quarter 1 of fiscal year 2010 interval data: 81% of families were seen within 28 days after Intake by Family Guidance Services. 49% of families were seen within 28 days after Intake by Family Advocacy Support Services. 76% of families were seen within 28 days after Intake by Wraparound. For Quarter 1 and Quarter 2 of fiscal year 2010, the Stakeholder recommended goal for the bundle of services is to see 75% of families within 28 days. For Quarter 3 and Quarter 4 of fiscal year 2010, the expectation is raised to 90% of families seen within 28 days for all three services. • • •

The Referral Enrollment and Intake Process has been fully revised and implemented. This new process shows promising results that families are able to access services in a more timely and thoughtful manner. Data will be available during the next Stakeholder's meeting on its effectiveness. CMH’s application for Therapeutic Foster Care has been approved. Several families are in the process of orientation trainings and are beginning to work on foster care licensing. Recruitment for additional eligible families is needed and efforts are ongoing. Mobile Crisis response team has a tentative agreement in place with ten potential staff to work on the team. This service will be available to DHS-CPS and DHS-SEDW families.

Other Highlights • Manualization of home-based services is underway in Monroe County, MI. Initial trainings have begun with mid-level managers in Monroe County through the strength based trainings and through observations of clinical teams. Recommendations • Bundle of Service team recommends approval of the definition of first offered date for the Bundle of Service: “The first day and time we are available to meet with the family.” Evaluation Team was requested to begin strategies to capture the first offered date of service in addition to the first actual face to face date of service. [Approved by Stakeholder Group 06/09/2010.] STRATEGY 3 - TRAINING, TECHNICAL ASSISTANCE, AND WORKFORCE DEVELOPMENT THROUGH A LEARNING COMMUNITY Outcome 5: A unified, family driven, youth guided, and culturally and linguistically competent system of care for children with SED and their families

Data Driven Successes/Challenges • Strength Based Training - Cohort 2 started. Improved feedback regarding applicability was received this cohort. • Communication regarding learning opportunities between committee and agencies. 2


Feedback from agencies on what would be helpful content of training.

Other Highlights • Managers to lead on managers’ luncheon process and curriculum identified. Curriculum/content outlined. • Michigan Leadership Institute completed with exceptional reviews. Recommendations • Learning Community recommends that the cultural coalition include cultural proficiency documentation of cultural discovery into the modules. Previously, Stakeholders recommended cultural proficiency documentation be addressed by the Learning Community. [Approved by Stakeholder Group 06/09/2010.] •

Michigan Leadership Institute 2011 dates March 16, 17 and May 18, 19. [Approved by Stakeholder Group 06/09/2010.]

STRATEGY 4 - INDIVIDUALIZED SERVICE PLANNING Outcome 5: A unified, family driven, youth guided, and culturally and linguistically competent system of care for children with SED and their families

Recommendations • To encourage staff to continue to use the Family Orientation Video. This video took a lot of time and expense to put together and families have indicated that it can be very useful in orienting them to the Impact System of Care. Please encourage referring workers to view the 8-minute DVD with the family they are referring, and to take the time to explain what it means to be referred to Impact and how to make an intake appointment. [Approved by Stakeholder Group 06/09/2010.] STRATEGY 5 - QUALITY IMPROVEMENT AND ASSURANCE Outcome 1: Outcome 2: Outcome 3: Outcome 4: Outcome 5:

Maximized functioning of children with SED and their families Reduced need for out-of-home placements Efficient use of resources Increased participation of families and youth in the development of the system A unified, family driven, youth guided, and culturally and linguistically competent system of care for children with SED and their families Outcome 6: Increased community knowledge of the system of care and decreased stigma

Other Highlights • Scientific Advisory Team met and offered suggestions to consider in the development of a sustainable, ongoing continuous quality improvement process, incorporating local data sources. STRATEGY 6 - ALIGNING FUNDING STREAMS AND STRUCTURES Outcome 3: Efficient use of resources

No information to share at this time.

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STRATEGY 7 - COMMUNICATIONS AND SOCIAL MARKETING Outcome 6: Increased community knowledge of the system of care and decreased stigma

Data Driven Successes/Challenges •

The Impact website has been redesigned and revised to allow more activities to be highlighted on the home page, improve the calendar, and allow online registration for Learning Center opportunities.

Recommendations • Each partner add “proud partner of Impact System of Care” to their websites with a link to www.impactsystemofcare.org. [Approved by Stakeholder Group 06/09/2010. Some partner agencies will need supervisor/director approval.] •

The 2010 CMHA youth art show travel among partners for the next year. [Approved by Stakeholder Group 06/09/2010.]

G:\Impact\Reports to Stakeholder Group\06-09-2010\Theory of Change Update from 06-09-10 Stakeholder Group.doc revised 06/10/10 ms

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TOC Update 06-09-10