Transforming Together: Implementation Guide
Contents Building an Integrated System of
Closing.................................................. 44 What success looks like: A new Ecosystem of Care is emerging....................................44 Using Data and Community Engagement to Assess Needs and Gaps, Identify Priorities, and Measure Progress..........46 Introduction........................................... 46 The What..............................................46 The How...............................................46 Key Component: Co-Created Outcomes.....48 Stronger measurement of impact across systems................................................ 51 Tapping Parent and Youth Perspectives Creatively and Comprehensively...............53 Key Component: Well-Chosen Measures of Progress...........................................54 Key Component: Authentic Community and Family Participation.......................55 County Spotlight....................................58 The Case for Compensating Parents..........59 Recap: Strategies for Using a Community Needs Assessment to Inform Shared Outcomes and Measures.......................60 Using changes in systems, practices and data use to achieve better outcomes for families and youth................................62 What success looks like: Family and youth are co-designers of a new ecosystem of care. ..................................................... 64 Endnotes............................................... 67
Supports................................................. 1 Introduction. .......................................... 4 Why Integration Matters.........................4 About this Guide.....................................5 Why Change?...........................................7 The Case for Change.................................7 Moving from Siloed to Strategic..................8 California Policy Momentum.......................9 Fresno County: Building Access Through Trust and Integration......................................11 Resources for Implementation..............12 Supporting Systems Change—What this Guide Provides.......................................12 Four Chapters .......................................12 The Opportunity.....................................12 Neuroscience and Practice Inform a Whole- Child Definition . ..................................... 13 Research on Working Together for Whole- Child Success........................................15 Collective Impact....................................15 System of Care......................................16 Appendix: Outputs & Outcomes Framework. .......................................... 17 Establishing a Countywide Ecosystem of Care .....................................................20 Introduction........................................... 20 The What..............................................22 Key Components of an Ecosystem of Care Leadership Structure ..............................22 The How...............................................23 Engage in Existing Cross-Agency Efforts....23 From Host Agency to Shared Ownership....25 Create a Shared Vision and Clarify Roles....25 Moving Beyond Managing an Initiative to Leading Full Systems-Change...................28 Strategies for Building Cross-Agency Leadership and Collaboration ..................28 Building the Blueprint: How One County Mapped its Cross-Agency Meetings...........30
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