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Concept Mapping

Concept Mapping. A Next Generation Strategy For Planning and Evaluating Systems Change. Presenters. Lenore B. Behar, Director Child & Family Program Strategies William M. Hydaker, Director Hydaker Community Consulting. Andrea Aderton, Project Director Circle of Hope Project

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Concept Mapping

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  1. Concept Mapping A Next Generation Strategy For Planning and Evaluating Systems Change

  2. Presenters Lenore B. Behar, Director Child & Family Program Strategies William M. Hydaker, Director Hydaker Community Consulting

  3. Andrea Aderton, Project Director Circle of Hope Project St. Joseph, MO Mona Gauthier, Principal Investigator Cathy Baxter, Evaluator commUNITY cares Hattisburg, MS

  4. John Reiss, Consultant Florida Institute for Family Involvement Associate Professor of PediatricsInstitute for Child Health PolicyUniversity of  Florida Gainesville, FL

  5. Purpose: Enhance, facilitate, and support family and consumer involvement in the development of responsive, family-centered, and community based systems of care for children, youth and young adults and their families.

  6. Integrating Families, Communities, and Providers (IFCAP) Funding: Federal Maternal and Child Health Bureau’s Division of Services for CSHCN Funding Initiative: Implementation of HP 2010 goal of statewide access to family-centered care through medical homes Eligible applicants: State Title V CSHCN Programs or Program’s designee

  7. IFCAP Partnerships FIFI: Invited by Children’s Medical Services (Florida Title V) to apply, as the lead organization, for 3-year grant Lead Partners: Children’s Medical Services Florida Pediatric Society (Florida AAP Chapter) Eligible applicants: State Title V CSHCN Programs or Program’s designee

  8. IFCAP Vision and Approach Vision: Build and sustain a family-centered, community-based, culturally competent system of care for all children and youth with special health care needs (CYSHCN) and their families in Florida through community partnerships. Approach: Family – Enhance capacity to be full partners Providers – Enhance capacity to implement medical home approach and partner with families System – Enhance capacity to facilitate, fund and sustain quality care and partnerships for CYSHCN Community – Support existing partnerships to build local systems

  9. Supporting Communities Build capacity of communities to respond to the needs of CYSHCN Assist communities in understanding needs of CYSHCN and their families Prepare communities to serve as the primary site of service delivery for their CYSHCN Help communities build a network or services and supports for CYSHCN and their families Ensure communities have the necessary resources to maintain medical home efforts

  10. Use Existing Partnerships to Build Local Systems Request for proposals: Identify and describe the community Describe composition of the community’s health care professionals, health and related programs, community agencies, schools and other formal and informal organizations and the current capacity of these entities to partner with families and work in a collaborative fashion to provide all CSHCN with a medical home. Describe barriers that will be addressed.

  11. Use Existing Partnerships to Build Local Systems Request for proposals: Applicants are expected to have already established a formal or informal community-based coalition (i.e. working group, committee, task force) that includes a range of CSHCN stakeholders. Initial activity can involve expanding membership of core group. Describe membership of applicant and community’s a) demonstrated potential to develop partnership and b) current and potential capacity to serve CSHCN and their families.

  12. IFCAP Communities Jacksonville Sarasota Broward Co.

  13. Circle of Home, Opportunities, Parents and Professionals, Empowerment

  14. Policy Team Members ● Family Guidance Center ● The Center ● Northwest Health Services ● St. Joseph Youth Alliance ● Heartland Health ● Children’s Division ● St. Joseph School District ● Key Family Contact ● Preferred Family Healthcare ● Youth Coordinator ● Albany Regional Center ● State to Local Liaison ● Buchanan County Juvenile ● Parents Court ● Youth

  15. Goal • The goal of Circle of HOPE, a collaborative community effort, is to design and create a system of care that will enhance service delivery system for children at risk or with severe emotional disturbance and their families through integration of physical, behavioral health and educational services.

  16. Population of Focus • Diagnosis of SED or • Displays inability to function in family, school or community that is expected to last more than one year. • Age 8-13

  17. Operating Principles • Services will be coordinated across agencies and service agencies. • Information will be shared between agencies to eliminate the need for parents, family members or youth to provide the same information to multiple agencies. • Data will drive decision-making • No Wrong Door • An infrastructure will be created to develop and sustain the system of care over time. • Family involved in all phases of planning, implementation, evaluation of services.

  18. Circle of Hope Service Model Referral Sources • Parents • Schools • Primary Healthcare Screening • Family Support Assistant- system navigator Enrollment • Functioning Evaluation • Care Coordinator- facilitator/case management Service Planning • Wraparound Process Transition Planning

  19. Administrative Staff Service Delivery Staff Project Director Andrea Aderton SOC Service Providers Clinical Coordinator Elizabeth Keane Psychiatrists Service Contracts Clinical Supervisor (Interim) Vicky Myers Physicians TA/Cultural Competency Nicki Samson Evaluation MIMH/LAN Resources Behavioral Health Providers Care Coordinator Mike Bolten Care Coordinator Vacant Marketing & Communications Key Family Contact Joseph Turner Non Mental Health Services Resource Planning & Development Family Support Assistant Donna Barber FSA Vacant Children’s Division Youth Coordinator Jayme Neal Juvenile Justice Administrative Assistant Wendy Tyrrell Schools Staff & Services Pattern Chart

  20. Key Initiative Partners • MS Department of Mental Health • Pine Belt Mental Healthcare Resources • Mississippi Families as Allies

  21. Other Initiative Participants • Forrest, Lamar & Marion County and City School Districts • Juvenile Justice/ Youth Court • Youth Development Initiative • Health Department • Department of Human Services • Boys & Girls’ Club

  22. Initiative Partners, continued… • Aldersgate • Big Brothers/Big Sisters • Forrest County Youth Court • Hattiesburg Police Department • Mississippi Children’s Home Services/CARES • MCHS (Adolescent Shelter) • Oseola McCarty Youth Center • Catholic Social & Community Services

  23. …..and still more…. • School Attendance Officers – Forrest & Lamar • Center for the Prevention of Child Abuse • Lamar County – Parents As Teachers • Lamar County Sheriff’s Department • University of Southern Mississippi – Resource Center

  24. And growing…. • Junior Auxiliary • Harden House • Memorial Behavioral Health • Parham Group • Salvation Army Boys & Girls Club

  25. Who is the target population?When do services start? • The target population for this grant is youth ages 10-18 with a serious emotional disorder AND substance misuse in Forrest, Lamar, and Marion Counties. • Service Implementation Schedule: • Forrest County: October 1, 2007 • Currently accepting referrals • Lamar County: October 2008 • Marion County: October 2009

  26. Intensive Workshop Overview • Introduction to Concept Mapping. • Process – how it works. • Products. • Break (10 minutes). • How to use Concept Mapping. • Comparison to other planning/ evaluation methods.

  27. Introduction to Concept Mapping • Group discussion of planning and evaluation experiences. • Concept Mapping defined. • Concept Mapping as a planning and evaluation tool. • Examples.

  28. Planning and Evaluation Experiences • Strengths • Challenges • Evaluation, quality improvement, continuous quality improvement?

  29. Definition • A structured conceptualization process which can be used to organize the thoughts and ideas of a group of participants or stakeholders who wish to develop conceptual framework for planning and evaluation. • The process is used to develop a concept map which is a pictorial representation of all of the ideas generated by the entire group and the relationships of each of the ideas to each other. • The participants express both their individual ideas and interact with the entire group and develop additional ideas that are expressions of the group.

  30. Advantages • Time efficient • Easy to understand process • Facilitates broader community involvement • Effective engagement strategy • Moves away from the “jargon” of professionals and evaluators • Gives participants an equal voice • Supports ownership • Multiple uses e.g. planning, logic model development, and evaluation

  31. In Order to Avoid This

  32. And Get Organized Input fromCommunity Stakeholders

  33. Examples from the Field • National Traumatic Stress Initiative • Comprehensive Community Mental Health Services Program for Children and Their Families • State of Mississippi • Maternal Child Health Bureau

  34. Concept Systems, Inc.Example of Clients

  35. Process – how does it work? • Convening a group. • Brainstorming. • Sorting the responses. • Rating the responses. • Feedback session & products.

  36. Convening a Group The organizers determine who the participants will be. They may include administrators, staff, board members, family members, youth and/or community leaders.

  37. Develop the Focus Prompt The Focus Prompt is the trigger for Brainstorming. It sets the framework for how the group thinks about the task.

  38. Examples of a Focus Prompt • “To develop a system of care in our community, we must have the following characteristics and functions …..” Or • “To have a system of care in our community, we must…..”

  39. Brainstorming • Generate ideas in response to a prompt. Sorting • Sort each idea into groups you believe are related to each other. • Label each group. Rating • Rate each idea as to importance using a 1-5 point scale. • Rate each idea as to feasibility using a 1-5 point scale.

  40. Brainstorming • Participants are encouraged to generate statements representing the entire conceptual domain of the topic of interest. • Theoretically no limit on the number of statements, though excessive numbers may become cumbersome.

  41. The Brainstorming Process • As someone makes a statement, it is typed into the computer and projected onto the screen. • Each successive statement is put on the screen. • Brainstorming is complete when the group cannot generate any more statements. • We will do up to 100 statements. • The prompt statement gives you your task.

  42. Brainstorming Guidelines • Keep the focus on the task. • Any input addressing the task is OK. • No criticism of others’ input. • No editing, except for clarity. • Listen to others. • Watch for duplication. • Participate.

  43. Roles of the Facilitators • Make sure topic is thoroughly considered. • Get everyone involved. • Keep everyone on task.

  44. Focus Prompt “To have a system of care in our community, we must…..”

  45. Sorting After appropriate editing, each statement is printed on an index card and a complete set of cards is provided to each participant.

  46. Sorting Statements • Your task is to organize the statements into • groups that make sense to you. • Each of you has two things: • 1. Cards to sort into piles. • 2. A label to go with each pile. • Sort the cards into piles and place one • label on each pile. • Don’t create piles with miscellaneous items • You must have more than 1 pile! • You cannot have a pile that has only 1 card in it.

  47. Rating • Utilizes a Likert scale • Each respondent is asked to rate each item on two separate dimensions • Each item is rated on a 1 to 5 response scale with 1 equaling strongly disagree and 5 equaling strongly agree

  48. Ratings Use the rating sheets to determine the importance and feasibility of each statement. Remember, Importance then Feasibility.

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