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A Culturally Competent & Participatory Change Model

The TINS Project: Growing Talents, Interests and Natural Supports Using Rapid Cycle Process Improvement. A Culturally Competent & Participatory Change Model. Jennifer Parmalee, Dir of Children & Youth Services Onondaga County jenniferparmalee@ongov.net. Tashia Thomas

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A Culturally Competent & Participatory Change Model

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  1. The TINS Project:Growing Talents, Interests and Natural Supports Using Rapid Cycle Process Improvement A Culturally Competent & Participatory Change Model Jennifer Parmalee, Dir of Children & Youth Services Onondaga County jenniferparmalee@ongov.net Tashia Thomas Dir of Cultural and Linguistic Competence On Care tthomas @ccsi.org Mat Roosa Dir of Planning and QI Onondaga County mroosa@@ongov.net Judith Hight Dir of CQI On Care jhight@ccsi.org

  2. Background: • Community providers trained in Wrap-around • Talents, Interests, Natural Supports (TINS) not found in service plans. • Focus on Waiver • If they can do it… • Rich data • Early adopters Don’tPull the Weeds… Plant The Seeds.

  3. Onondaga County Over 450,000 residents Syracuse, NY, Pop: 139,000 250 miles northwest of NYC

  4. Community Profile: 4% 3% 5% 8% 11% 29% 56% 81% Waiver Profile:

  5. Rapid Cycle Process Improvement PDSA For more info: www.NIATx.net www.ihi.org

  6. System of Care & Rapid Cycle PI Values Alignment • Family Driven & Youth Guided • Participatory & Inclusive • Culturally and Linguistically Competent • Includes recipients and ground level staff in the development of change projects • A grass roots, bottom up model that engages all key stake holders • A team-based approach

  7. TINS & Cultural & Linguistic Competence: Values Alignment • TINS aligns with the family. • TINS Focuses on the youth’s/family’s definition of success, based on culture, values, interests, strengths. • TINS pushes worker to seek to understand, value, and partner with natural supports, as defined by the youth/family.

  8. Outcomes-Results of Waiver TINS project: Evidence of TINS

  9. Outcomes-Results of Waiver TINS project: cont. * Represents approx $160,000 in annual savings from 2010 to 2011

  10. Future plans • TINS project, Round 2 • More than just waiver • Including youth and families in change teams • From contemplation to action: (TINS not only in service plans, but in objectives and goals) • Low cost/No cost • Building internal capacity

  11. Jennifer Parmalee, Dir of Children & Youth Services Onondaga County jenniferparmalee@ongov.net Tashia Thomas Dir of Cultural and Linguistic Competence On Care tthomas @ccsi.org Mat Roosa Dir of Planning and QI Onondaga County mroosa@@ongov.net Judith Hight Dir of CQI On Care jhight@ccsi.org

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