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System Implementation Of the GAIN December 14, 2010

Mental Health, Chemical Abuse and Dependency Services Division Department of Community and Human Services. System Implementation Of the GAIN December 14, 2010. Geoff Miller, MBA Special Projects Manager. 2010 CD Provider Network. Substance Abuse Provider Network 45 provider agencies

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System Implementation Of the GAIN December 14, 2010

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  1. Mental Health, Chemical Abuse andDependency Services DivisionDepartment of Community and Human Services System Implementation Of the GAIN December 14, 2010 Geoff Miller, MBA Special Projects Manager

  2. 2010 CD Provider Network Substance Abuse Provider Network 45 provider agencies 21 Youth 24 Adult 12 Combined Youth and Adult 12 Dually Certified in MH and SA 7 Residential 60 certified service locations 13 Prevention Providers

  3. Growth in Adult Outpatient Clients Served

  4. Growth in OST Clients Served

  5. Growth in Youth Outpatient Clients Served

  6. Reclaiming Futures • More Treatment • Better Treatment • Beyond Treatment

  7. Why standardization of Assessment? • multiple providers all using different tools • non-validated tools questioned by legal system • no solid data on co-occurring issues • quality reviews indicted need for better documentation of issues identified in assessment • multiple assessments conducted • needed to invest in workforce development • needed data to support implementation of evidenced based approaches • position the community for competitiveness in grant opportunities • use the data to improve the system of care for youth served

  8. Managing Complex Change Across Systems of Care

  9. Youth Outpatient Completion and Retention Rate

  10. Adult Outpatient Completion and Retention Rate

  11. Grant Update • Received • 2009 – Transition Age Youth Grant - ACRA/ACC $900,000 • 2010 – CPPW Tobacco Cessation - $167,000 • 2010 - Recovery Oriented System of Care for PPW - $1.4M • 2010 – Mental Health Transformation Grant - $2.25M • Potential Pending • Juvenile Drug Court – ACRA/ACC and TF-CBT - $975,000 • Assertive Adolescent and Family Treatment - $900,000

  12. TAP 31 • Chapter 1--There is no single model for or approach to implementing a program of organizational change.

  13. Reality • We have a credentialed practitioner treatment provider system • Uneven education and capibility • Fee-for-service restricted • Multiple provider “assessment procedures”

  14. TAP 31 • Chapter 2—Preplanning. At this stage, decision makers determine whether best practices are worth implementing. The chapter suggests practical ways to compare best practices with TAU, evaluate outcomes, and realistically assess whether change is possible or desirable.

  15. Even the best laid plans…. • Centralized or decentralized • Changes outside of our control – • Change from Legacy ABS to web-based • Change in GRRS and ICP • Unknowly changed • Advanced Clinicial Training

  16. TAP 31 • Chapter 3—Planning. Implementation requires forethought and planning. This chapter suggests factors that should be considered in planning for implementation. It recommends strategies to involve stakeholders, anticipate problems, and align the organization with the impending changes.

  17. Reality • Implementation requires commitment • The ability to react to changes, resistance

  18. TAP 31 • Chapter 4—Implementation. With proper planning, implementation is a matter of following the established course. This chapter suggests ways to execute plans, monitor progress, and make adjustments, if necessary.

  19. Implementation Progress • GAIN-I initiated in King County • GAIN-SS adopted statewide for Mental Health, Substance Abuse, Child Protective Services • Internal Staff trained and begin frequent training of providers and clinical staff

  20. TAP 31 • Chapter 5—Evaluation. Much of the work for this step is done in the planning and implementation stages. Evaluation is the process of appraising or measuring outcomes, comparing outcomes with baseline measures, and determining what, if any, adjustments need to be made.

  21. Surprises • Changes and questions from providers offer the most insight into the actual clinical change

  22. TAP 31 • Chapter 6—Sustainability. The best programs and practices will be of little use without a plan to sustain them over time. This chapter introduces strategies to garner the financial, political, and systemic support to make the progress permanent.

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