State of Washington WISe CANS Project

ABSTRACT Washington State Health Care Authority: Wraparound with Intensive Services (WISe) CANS Project Purpose This proposal is a response to a request from Washington State Health Care Authority (WA HCA) to continue to support their implementation of a customized Child and Adolescent Needs and Strengths (CANS) for use with children eligible for services in the WISe program. The CANS is functional assessment tool that organizes information and operationalizes the Transformational Collaborative Outcomes Management (TCOM) framework, which is rooted in the following guiding principles: 1. The belief that all interventions and assessments should be culturally responsive and respectful. 2. People should have a voice and choice with regard to participating in any assessments and interventions. 3. All interventions should be personalized, respectful and have demonstrable value to the people they serve. 4. Collaborative processes inclusive of children and families, should be used for all decisions at all levels of the system. 5. Consensus on action is the primarcy outcome of all collaborative processes. 6. Information about the people served and their personal change should always inform decision making at all levels of the system. 7. All of our work should be accomplished with respect to the earth and our impact on it. Qualifications The CANS is a functional assessment tool that has been in use in child welfare, children’s behavioral health, educational and juvenile justice systems since the late 1990s. Developed by John S. Lyons, PhD while at Northwestern University, the CANS is now used across the United States, Canada and over 10 countries internationally. It is estimated that 80% of children served in public behavioral health and child welfare systems in the United States have had a CANS. Since the development of the CANS, other similar tools have been created including the Adult Needs and Strengths Assessment (ANSA), Family Advocacy and Support Tool (FAST), Crisis Assessment Tool (CAT), and the Readiness Inventory for Successful Employment (RISE). During the last 30+ years Dr. Lyons’ work has received support from the organizations that he has worked in which contributed to the development of his team and the evolution of the Transformational Collaborative Outcomes Management (TCOM) approach: University of Ottawa, Chapin Hall at the University of Chicago, and most recently at the Center for Innovation in Population Health (IPH Center) at the University of Kentucky. Established in 2019, the IPH Center provides a platform for the TCOM approach to flourish in a research setting that can draw multi-sector collaborative relationships with key partners in the academy as well as throughout the human service sectors. Within the context of the IPH Center, TCOM and its tools, such as the CANS, broadens the strategy of personal transformation to addressing population health improvement. Methods 1. Precision Analytics a. TCOM and CANS implementation technical assistance and Consultation with Washington HCA, Department of Behavioral Health and Recovery (DBHR) and WISe program leadership. b. Data collection, analysis, and reporting: Behavioral Health Assessment Solution (BHAS) Quarterly Reports published for the public. 2. Quality Improvement a. Quality Improvement Review Tool (QIRT) technical assistance, training, data collection, and reporting. b. CANS online certification, access, and help desk support to the WISe CANS training bundle on TCOMtraining.com. c. CANS technical assistance and support. 3. Project Management, including secure file data transfer administration Qualifications of Key Staff John S. Lyons, PhD is the Director of the IPH Center and has more than 40 years of experience consulting with states and other jurisdictions around the design and function of public mental health systems. As mentioned previously he is the initial developer of TCOM, CANS and ANSA. He has authored nine books and more than 300 peer reviewed articles, including the recent book Transformational Collaborative Outcomes Management. The Business of Person Change (Palgrave/Macmillan/Spring, 2022). He has substantial project management experience. He will provide overall project leadership and consultation both internally to the project and more broadly with Washington HCA, WISe program leadership. April D. Fernando, PhD is an Associate Director of the IPH Center. She leads the TCOM Implementation, Development, and Educational Support (TIDES) program at the IPH Center. She will lead the clinical aspects of the project including supporting and ensuring that the workforce is properly trained and supported in the TCOM approach and the use of TCOM tools. Olga Vsevolozhskaya, PhD is an Assistant Director at the IPH Center at the University of Kentucky and a faculty member in the Department of Biostatistics within the College of Public Health. Dr. Vsevolozhskaya leads the Precision Analytics program at the IPH Center and will oversee the data management and analyses aspects of the work. Her team will be responsible for the design, development and production of reports.