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Background and Steps that Led to Institutional Analysis 2003 ~ Fresno County began implementing Annie E. Casey's Family to Family InitiativeCommunity Partnership and Self Evaluation Strategies Intersect through gathering and presenting baseline data to the community 2006 - Present ~ Child We
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2. After 1st bullet flip forward to next slide. Then come back to talk about Dispro committee, transparency and Cathi dont know answers but am committed and there is no turning back.After 1st bullet flip forward to next slide. Then come back to talk about Dispro committee, transparency and Cathi dont know answers but am committed and there is no turning back.
3. Data clearly demostrates over-representationData clearly demostrates over-representation
5. Fresno has the answernext slidenot so muchFresno has the answernext slidenot so much
7. We knew that we had only skimmed the surface. We knew we had to get a better understanding of how our system impacted families. Thought going deeper with case reviews might shine a light.We knew that we had only skimmed the surface. We knew we had to get a better understanding of how our system impacted families. Thought going deeper with case reviews might shine a light.
8. What is an Institutional Analysis? An analysis is a qualitative methodology that uncovers how a particular outcome is produced. The analysis looks at the GAP between what a child, youth, or their families need in order to be safe and what the institution is set up to do 8
9. PRESUME every worker is coordinated and organized to think about and act on cases in institutionally authorized or acceptable ways 9
10. Foundations of the InstitutionalAnalysis Its the system, not individual workers.
Institutional view of clients is rarely neutral.
One size does not fit all when working with families.
Institutional changes can improve outcomes for families.
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11. 11 Institutional Analysis Framework
12. 12 African American Family/Community
13. 13 Problematic Practices
14. 14 Outcomes
15. Institutional Analysis Process June-November 2009 ~ Review of Data and Big Picture Interviews with 13 individuals including agency leadership, juvenile court judge, community partners, technical assistance providers, etc.
November 2009 ~ In-depth Case-Based Analysis of 6 Cases including interviews with 49 individuals.
16. IA Process Contd December 2009
Individual interviews with 60 agency social work staff, private providers and community partners;
18 observations including juvenile court, parenting classes, team meetings and shadowing workers;
12 focus groups (parents, youth, guardians, attorneys, foster parents, social workers, cultural brokers);
guided review of 32 case files.
17. 2010 Racial Equity Action Plan Highlights Provided Racial Sobriety training to entire workforce to increase awareness of each individuals opportunity to mitigate bias.
Established a Quality Supervision approach which supports supervisors in modeling, coaching and guiding Fresno social workers to continuously develop and enhance their engagement and teaming skills with families.
Implemented visitation contracts that include expanded visitation hours (9am-8pm, Monday through Saturday and Holidays) in the neighborhoods in which our clients reside.
Rolled out Joint Community Response practice (strategy which involves a coordinated joint response between a social worker and a Cultural Broker and/or Parent Partner) to more successfully engage African American families and conduct a more accurate, up-front assessment of the familys needs. QS Case Reviews, reflective practice guides, PTM brochure, practice profiles, etc.
Visitation in community and expanded hours
JCR huge success and valuable partnership
Other Major Steps Taken Post IA
Integration of Child Welfare Divisions
Community Preparation for release of IA report
Community Response and Support
QS Case Reviews, reflective practice guides, PTM brochure, practice profiles, etc.
Visitation in community and expanded hours
JCR huge success and valuable partnership
Other Major Steps Taken Post IA
Integration of Child Welfare Divisions
Community Preparation for release of IA report
Community Response and Support
18. Key Findings Gap between the countys intent and the actual outcomes that the families experience.
Limited understanding of the unique strengths and problems faced by African American families.
Intervened through universal, rather than individualized assessments and service plans.
19. Key Findings Contd Services tended to be centrally located in Fresno, rather than in the communities and the operating hours were inconvenient.
Minimal support of parents to achieve economic stability by linking them with other available services.
Workers not directed to proactively and consistently find permanent families for older youth.
20. Major Steps Taken Post Release of Final IA Report Specialized Staff
All Staff Trained on Quality Family Engagement and Teaming Practice
Round Tables
Domestic Violence Classes
Community Resource Specialist
Linkages
Racial Equity Sub-Committee Structure Specialized Staff knowing families (compartmentalized) move towards integration and changes that aid in knokwing family better.
All Staff Trained on Quality Family Engagement and Teaming Practice
Round Tables ongoing assessment of system
Domestic Violence Classes no more business as usualfind what works and meets familys unique needs
Community Resource Specialist id and coordination of services, link families
Linkages connect into other DSS services
Racial Equity Sub-Committee Structure designed to move remaining F&R forward, structure under construction
Specialized Staff knowing families (compartmentalized) move towards integration and changes that aid in knokwing family better.
All Staff Trained on Quality Family Engagement and Teaming Practice
Round Tables ongoing assessment of system
Domestic Violence Classes no more business as usualfind what works and meets familys unique needs
Community Resource Specialist id and coordination of services, link families
Linkages connect into other DSS services
Racial Equity Sub-Committee Structure designed to move remaining F&R forward, structure under construction
21. Key Advisors Review RFP, Vision, Mission, Goals, etc.
Once accomplish goals may be collapsed and new group form, some groups have long term work to do.
Key Advisors Review RFP, Vision, Mission, Goals, etc.
Once accomplish goals may be collapsed and new group form, some groups have long term work to do.
22. Whats Next? California Partners for Permanency
5 Year Federal Grant
Goal is to reduce long-term foster care for African American and Native American youth
Fresno is one of four pilot counties
The other 3 counties (& 10 replication counties) will participate in an Institutional Analysis.
Knowing Who You Are
Racial Sobriety Coaching
Kinship Support Grant
This will be followed by an overview of the findings and recommendations of the Institutional Analysis that was conducted in Fresno County in late 2009 and the current efforts to reform the system to achieve the desired outcomes for all families. Context for how this work is being explored on a state wide level will also be shared. This will be followed by an overview of the findings and recommendations of the Institutional Analysis that was conducted in Fresno County in late 2009 and the current efforts to reform the system to achieve the desired outcomes for all families. Context for how this work is being explored on a state wide level will also be shared.
23. Practice & Training Implications Implementation Science
Training alone doesnt have impact ~ Coaching is critical
Adjusting System to meet intervention not other way around (e.g. TDM)
Adaptive Leadership/Supervision
24. To learn more about the Institutional Analysis visit www.cssp.org or email kristen.weber@cssp.org For a copy of Fresno Countys full report: http://www.co.fresno.ca.us/uploadedFiles/Departments/Children_and_Family_Services/PDF/Institutional%20Analysis%20101910.pdfFor questions related to Fresno Countys Institutional Analysis please contact: Howard Himes (559) 600-2306 hhimes@co.fresno.ca.us or Wendy Osikafo (559) 600-2355 wosikafo@co.fresno.ca.us