Transforming Together: Implementation Guide
Tool Spotlight : Spreadsheet of Goals, Proposed Actions, and Metrics (ESC Toolkit) This tool gives counties a structure to document shared commitments, clarify agency responsibilities, and track progress over time. It serves as a foundation for building strong MOUs. Tool Spotlight: The Chart of Child & Family Serving Agencies (ESC Toolkit) can help counties map which agencies already collect similar data, clarifying redundancies and enabling a more unified approach to needs assessments. Tool Spotlight : Sacramento County’s AB2083 MOU (Sample) Sacramento County’s 2023–2026 Operational Agreement shows how agencies can move from frameworks to practice. It offers a clear model of: • Shared vision and mission (see Introduction: Purpose, Vision, Mission, Principles ). • Two-tiered governance (see Part One: Interagency Leadership Team and Advisory Body ). • Concrete implementation mechanisms (see Part Three: Information & Data Sharing and Part Seven: Alignment and Coordination of Services ). Readers can reference these sections to see how Sacramento made abstract commitments operational, with clear roles, decision-making processes, and accountability systems across agencies. • Tool Spotlight : Creative Metrics for Measuring Difficult-to-Quantify Goals (ESC Toolkit)
• Do not rotate support responsibility too frequently. Understanding the landscape and the intent of the collective effort is complicated. However, when changes are needed, current or outgoing staff should orient the new team members, ideally overlap responsibilities for two or three months, and ensure the roles and responsibilities of all involved staff are well- documented. In addition to the suggested steps and considerations above, all of which offer ideas for how ILT and EAC teams come together, county leaders also play critical roles in sustaining momentum. The change required “to ensure youth and families can find support for their emotional, mental and behavioral health needs, when, where and in the way they need it most” 8 will take time, sustained effort, and goodwill. 7 Commit to shared data, measurement, and evaluation–and to naming successes and making course corrections System transformation efforts risk becoming directionless and unsustainable without a commitment to data, shared measurement, and continuous evaluation. Establishing common outcomes, aligning policies, and openly sharing information across agencies are essential steps toward building a more coordinated, equitable, and effective Ecosystem of Care. These practices not only improve services and reduce strain on families and staff, they also create a feedback loop that drives smarter decisions and stronger accountability.
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