Transforming Together: Implementation Guide
Sacramento’s MOU includes measurable outcomes, but many essential results (like trust, equity, and culture change) require broader metrics. This tool helps counties capture those dimensions so agreements stay grounded in impact, not just compliance. Celebrating and communicating early wins reinforces momentum and builds public and political will. In short, data isn’t just about tracking progress, it’s about making progress possible. • Evaluate key existing policy and practice documents across all partner agencies to identify potential system-wide policies. This review effectively cultivates uniform practices across the system (e.g., how to conduct assessments, facilitate client- level team meetings, share training and onboarding of staff, etc.) Doing so also reduces strain on staff and families and has demonstrated a significant return on the investment for partners. 9 • Identify shared measures of impact. Creating a set of outcomes is critical to integrated service success. Identifying and quantifying the outcomes or impacts of the collective work from the start is a powerful and necessary way to sustain the effort and address equity and inclusion that is often otherwise conceptual. See Chapter 2 for more details. • Determine the universal array of services and support the county/region to make smart decisions to coordinate care and align resources to offer and decide how to make them accessible to children and youth. This survey of services and supports can be accomplished by mapping, conducting a functional inventory of programs and services, and collectively reviewing the outcomes of those services. See Chapter 3 for greater detail. • Share information and data. ILT and EAC meetings are key venues for identifying
agreements and differences and putting them into writing. This practice ensures that individuals share and exchange information in ways that protect privacy and support care coordination and timely access to
services. See Chapter 4 for more. • Celebrate and broadcast success.
Reinforcing early positive outcomes is an effective way to gain traction as part of the difficult work of transforming government programs and services. Even the small, early successes of beginning a conversation or establishing agreements are something to acknowledge. Use local communication vehicles to let commissions, boards of supervisors, and other parallel decision- makers know of your emerging successes. The moment early practice-level impact is visible, communicate that impact to the broader local field of constituents in and around the Ecosystem of Care. 8 Make smart decisions to coordinate care and align resources Coordinated care and aligned resources are essential to ensuring youth and families receive the right support at the right time. When agencies make decisions together— about services, placements, and funding— they maximize impact, reduce duplication, and create a more responsive and efficient Ecosystem of Care. Tool Spotlight: The Chart of Entitlements and Supports (ESC Toolkit) provides a way to map available programs and funding streams across agencies, supporting collective decisions on how to align resources and avoid duplication. • Evaluate opportunities to expand the use of and enhance the critical state-required Interagency Placement Committee process and care coordination function. Create a pathway for a team of interagency
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