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Stakeholder Engagement
What Works – Palm Beach CountySeptember 30, 2015
Our Mission…
Board members, executive leadership,
staff, and funders committed themselves
to bridging the gap between research and
practice
Secured funding for a 5 year plan to implement
evidence-based practices/programs
Engaged staff in identifying and
implementing EBP’s that would best serve Lena
Pope Home’s client populations
Collaborated with other mental health
organizations to replicate and share
information and lessons learned
www.mentalhealthconnection.org
Community Champions: legislators, parent leaders,
funders, staff, agency leadership
Community Champions: legislators, parent leaders,
funders, staff, agency leadership
Individual agency staff and familiesIndividual agency staff and families
Community Providers
Community Providers
Created Learning Communities
Reviewed the Research
Made Recommendations
to MHC
Devised an Implementation
Map
Bridging the Gap
INTERNALIZING DISORDERS
Depression
Anxiety
EXTERNALIZINGDISORDERS
AD/HD, ODD, CD
TRAUMAPhysical, Sexual Abuse,
Family Violence
DEVELOPMENTAL DISORDERS
Asperger’s
Autism
Learning Disabilities
ADDICTIONSSubstance Abuse
Eating Disorders
PREVENTIONAT-RISK
Truancy
Family Conflict
Delinquency
Learning Communities
Externalizing
•Cognitive Behavioral Therapy
•“Quest for Competency”
Internalizing
•Cognitive Behavioral Therapy
Trauma• Trauma Focused
Cognitive Behavioral Therapy
Prevention/At-Risk
•Cultural Competency Advisory Team
•CBMCS•Nearly 500 people in
18 agencies trained
Addictions
•Cognitive Behavioral Therapy
•Campus Drug Court Model
DevelopmentalDisorders
•Autism Resource Center
•Screening•Assessment•Consumer
Education
We need to move our focus beyondimplementation of evidence-based practicesand view our goal as broader than that….
To provide the BEST SERVICES possible to those who are looking to us for help
This comes when we are driven and committed to finding out “what works” for clients instead of agencies and staff
You CANNOT
provide quality service if your agency/community is
not ready to do so!
Transtheoretical Model of Change by Carlo Di Clemente
Pre-contemplation
Contemplation
PreparationAction
Maintenance
•Goal: Serious consideration of changing behavior
Pre-contemplation
(no interest)
•Goal: Recognizing the need to change and making a decision to do so
Contemplation
(considering)
•Goal: Action plan with timeline for implementation
Preparation
(preparing)
•Goal: Taking action towards changing current behavior
Action
(initial change)
•Goal: Completely establishing new behavior patterns
Maintenance
(sustained change)
Change will not be uniform across the agency/community
Your first strategy is persuasion, not force (Jensen-Doss, Hawley, Lopez, Osterberg; 2009)
Strategize ways for those who may be initially resistant to come on board in ways that are meaningful to them (Steinfeld, Coffman, Keyes; 2009)
Support starts with a true understanding by agency leadership of why it is necessary and what it will take
Community Champions: legislators, parent leaders,
funders, staff, agency leadership
Community Champions: legislators, parent leaders,
funders, staff, agency leadership
Individual agency staff and familiesIndividual agency staff and families
Community providers
Community providers
Identify community agency CHAMPIONS
Come up with a common vision and language that everyone can communicate◦ “No Wrong Door”
“Selling” readiness and implementation process to your flagship organizations and the staff within them.
Identify “quick wins”
Leadership must energize staff at all levels by reinforcing a shared desire to effectively serve clients (bring it to the bottom line)
Communicate that everyone’s input and commitment is necessary
Provided opportunities for everyone to be involved
Find the right family members to participate and plan ways to empower them
Raise support dollars for implementation of the program/practice AND process
Identify layers and timelines of funding needed for stages of implementation
Identify funder “buy in” to various components of implementation
Systems Interventions
CORE IMPLEMENTATION COMPONENTS
Interactive& Integrated
Adapted from Implementation Research: A Synthesis of the Literature by Dean L. Fixsen, Sandra F. Naoom,, Karen A Base, Robert M. Friedman, France Wallace
ProgramEvaluation
Consultation&
Coaching
StaffEvaluation
Pre-ServiceTraining
FacilitativeAdministrative
Supports
Selection
Timelines for implementation
Know how interventions interface and overlap
Location, location, location!
Make certain agency leadership understands and supports the plan
Be ready for sudden opportunity/ Be flexible
Anticipate barriers
They are always looking to create a better product and better ways to serve their customers
They are never looking to do “business as usual”
Keep a history of events, wins, and challenges
Think about outcomes from the very beginning
Put money into marketing your community story
Develop protocols for future implementation and adaptation
Make a plan for leadership and attrition
