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Designing Child Welfare 2.0: Not easy. Just vital.

 

In our book Anna, Age Eight, my co-author Katherine Ortega Courtney and I devoted a chapter to how we can and must design Child Welfare 2.0. The model each state currently uses comes from one developed more than 100 years ago. Our experience working with child welfare systems, setting up continuous quality improvement programs (CQI), has taught us that while some systems are thoughtfully resourced and getting results, many face incredible challenges because of out-of-date protocols, old data systems, lack of resources, and a lack of capacity to form productive partnerships with city and local government, and other state agencies.

Our design process for Child Welfare 2.0 promotes innovation that is both disruptive and political. In our book we provide a blueprint for moving forward with a new New Mexican system, but it needs buy-in and customization on the local level to respect different histories and cultures.

We start with questions.

  1. What are the root cause of childhood trauma and maltreatment?
  2. How do we ensure that each county level child protective services office has the staffing, resources and empowerment to do one of the hardest jobs on earth?
  3. How do we create a child welfare system for the tech-infused age where staff and clients are wired through mobile devices?
  4. How do we create a new type of agency that is guided by a data-driven and collaborative process, engaging all local elected officials and the agencies they fund and run?
  5. Who is invested in keeping things as they are and who is devoted to fixing a broken system?

 

Who’s in the room?

As we bring communities together to talk about keeping children safe and families strong, we need to ask, “Who should be in the room as we design Child Welfare 2.0?”

The design challenge requires a multidisciplinary approach and all the smart people we can find on the state and local levels.  At every talk we do, we seek to hear the voices of those who work diligently within child welfare and have valuable insights. (These are the heroes of Anna, Age Eight.)

As we get ready to facilitate a community conversation about how a new 2.0 system should work in Santa Fe, we identified key partners who would enrich the dialogue. Many of the following invitees have never been invited to share their views on how to rethink and reinvent child welfare.

Here’s our invitation list for our first talk:

  • the mayor
  • city councilors
  • county executives
  • school board members
  • leadership within private and public health systems (including epidemiologists and prevention specialists)
  • leadership within the law enforcement and judicial systems

 

Then we add representative from vital community partners who have much experience with local children and parents including leadership from:

  • CASA (Court-Appointed Child Advocates)
  • Big Brothers/Big Sisters
  • School-based behavioral health care
  • Domestic violence shelters and offender programs
  • Early childhood learning centers
  • Food banks and homeless shelters who work with our most vulnerable families
  • Youth development agencies like boys’ and girls’ clubs
  • Transportation gurus who know how to get car-free folks to vital services

 

We must bring together the thousands of non-profit agencies who serve families and the local foundations who support them. We also need to hear loud and clear from our parents, youth and children—all extended family members, foster parents and adoptive parents--who have experience with the system. We need to listen very carefully to those teens who have aged out of the system to hear how their lives fared. They are our “users” and their perspectives will shape the new “user experience” of Child Welfare 2.0.

Before we start our series of community meetings we also require the involvement of partners who come from the private sector:

  • The business community focused on measurable results
  • Information technology experts who know state-of-the-art software
  • Architects and city planners who understand the power of user-friendly environments
  • Socially-engaged writers, artists and storytellers who inspire and enlighten our communities

A challenge as huge as designing Child Welfare 2.0 require public and private sector thinking, if not actually on-going involvement in the running of this new enterprise. We also stress that while the system in NM is state run, our reinvention process requires local input from each county.

Setting a Big Table

As we launch our on-going talks about Child Welfare 2.0, we will work diligently to create space for listening to as many perspectives as possible. Our data-driven process does depend on numbers, but it also relies on qualitative data in the form of stories from our residents.

We don’t pretend that implementing the data-driven 2.0 system will be easy.

For example, within government there will be resistance to a new design. While state government, controlling how child welfare runs, is not the military, it is built on a chain-of-command model. If you have a problem or an innovative idea, you’re supposed to go to your direct supervisor for guidance, not skip over a level of management. Such organizations are resistant to change, and that’s before we run into all the individuals who are just riding it out for a couple of years till retirement, or don’t want to put in the extra work reform would require, or who just woke up on the wrong side of the bed one day twenty years ago and decided to make it a habit.

As former government employees, we understand the challenges of pushing innovation within a bureaucracy. But if an idea like a fully-staffed and tech-empowered agency can get through a legislature, we may well invent a new type of agency called Child Welfare 2.0, eventually known as Child Well-Being 3.0.  

That’s what we want for child welfare. We just need to make sure that continuous quality improvement is a permanent part of the process. We want to end the common practice of government agencies acting before assessing and planning. We want to end the practice of governments and foundations funding projects without a rigorous evaluation process. When child welfare is properly funded, correctly staffed to meet best practice guidelines, expertly infused with state-of-the-art technology, and guided to use data to inform all actions, we will at long last have a vital agency of authority in a place. Child Welfare 2.0, along with its partnering family serving agencies, will be empowered to prevent all forms of adverse childhood experiences, trauma and maltreatment.

My co-author Katherine and I are “see-the-glass-half-full” people. We’re incredibly optimistic that with the right people at the table, we create a tipping point for a brand new agency that is set up for success. Join us as Child Welfare 2.0 becomes a reality.

 

About a community conversation on Child Welfare 2.0: The authors of Anna, Age Eight: The data-driven prevention of childhood trauma and maltreatment, Katherine Ortega Courtney, PhD and Dominic Cappello, discuss their book focused on how we must and can fix child welfare—a monumental challenge that requires the engagement of all of us. Thursday, June 28, 2018 2:30 PM - 4:30 PM, Santa Fe Community Foundation Fees: FREE. Please register. Contact:  amclaughlin@santafecf.org or 505-988-9715. Download a free chapter here: www.AnnaAgeEight.org

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Jane Stevens posted:

How far have you progressed with this approach in Santa Fe, Dominic? Do you have examples of other communities where this approach is being implemented? 

Also, fyi, you're in good company. There are at least more than 200 ACEs initiatives in the US at the moment, all of them taking a cross-sector approach, all incorporating data at some level, and all at different stages of maturity, from just starting out to having several years' experience under their belts. We'll be highlighting some of them over the next several months.

Most of the MARC communities developed quite a track record over two years, and information about those communities can be found here. Then there's the Building Community Resilience initiative, as well as the communities that are implementing ACEs initiatives through Sanctuary and the National Council for Behavioral Health.

Thank you for your questions and information. We have been watching ACEs initiatives over the last few years with much interest. The MARC communities and Building Community Resilience Approach show great promise. The challenge is having clarity about an initiative's objectives. Phrases like "trauma-informed policies and practices" and "continued changes in systems that foster resilience" all sound very promising yet they could mean many different things.  We are reaching out to many agencies involved in preventing ACEs to better understand their short, intermediate and long-term goals.

As you know from our book Anna, Age Eight and our Resilience Leaders program, are goal is to support each city in increasing the quality and quantity of vital family services to ensure that our most vulnerable children and adults have access to ten services:  behavioral health care (school-based and community-based), parent supports (including home visitation), early childhood learning programs, youth mentorship, family-centered schools, medical/dental care, safe housing, food programs and pantries, transportation to services, and job training. We seek to make our long term objectives as clear as possible.  Yes, we are talking about social moonshot. We are aiming very high because what's needed, as you well know.

We are in the assessment phase of our New Mexico Resilience Leaders program. We're exploring readiness and capacity. I am working now with an agency (with a Resilience Leaders organizing team) in Las Cruces to help them prioritize. At this point they have produced two "Great Conversations" focused on Anna, Age Eight, asking participants in their community forums which of the ten vital program areas they wish to start with. Thus far, expanding mental health care seems to be where they wish to focus their efforts in the first year. In Santa Fe we are currently doing informational interviews with city and county lawmakers to assess their priority areas. We are also meeting with the network of behavioral health care providers. 

We have also been in dialogue with the CASA (Court Appointed Child Advocates) in Kentucky for many months. They have formed their Resilience Leaders organizing team and are considering two priority areas: early childhood learning programs and mental health care. 

We are working to build awareness in the state capital of New Mexico about the rates of trauma and maltreatment. Our local Santa Fe Foundation is hosting a series of talks on Anna, Age Eight and our next one focuses on chapter five: Addressing the challenges of Child Welfare and creating Child Welfare 2.0. All of these presentations, collaborative meetings and interviews are indicating a thirst to do meaningful data-driven work. 

On a related note, I have just completed overseeing the implementation of Data Leader for Child Welfare in NYC, CT and NM.  We have learned much from our six cohorts about empowering leaders and training agency managers to use a data-driven, cross-sector and systemic process.  

Lastly, we are updating our Resilience Leaders course (teaching continuous quality improvement to guide local projects)  and will be adding in a google classroom component. We are very excited about the user-friendliness of the software. 

Thank you for your support, interest and questions.

How far have you progressed with this approach in Santa Fe, Dominic? Do you have examples of other communities where this approach is being implemented? 

Also, fyi, you're in good company. There are at least more than 200 ACEs initiatives in the US at the moment, all of them taking a cross-sector approach, all incorporating data at some level, and all at different stages of maturity, from just starting out to having several years' experience under their belts. We'll be highlighting some of them over the next several months.

Most of the MARC communities developed quite a track record over two years, and information about those communities can be found here. Then there's the Building Community Resilience initiative, as well as the communities that are implementing ACEs initiatives through Sanctuary and the National Council for Behavioral Health.

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