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Taking on Practice Model Implementation Challenges. The New Mexico Experience. Practice Model Peer Network Webinar September 10, 2012. New Mexico. Background Information. New Mexico.

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Taking on practice model implementation challenges

Taking on Practice Model Implementation Challenges

The New Mexico Experience

Practice Model Peer Network Webinar

September 10, 2012


New mexico
New Mexico

Background Information


New mexico1
New Mexico

  • Children, Youth & Families Department, Protective Services Division is the federally designated child welfare agency

  • Administration is centralized, with direct services offered through county offices located within five designated regions


New mexico2
New Mexico

  • 854.8 Positions

  • Current vacancy rate approximately 17%

  • Approximately 17,000 investigations annually

  • Average caseload 16.1 children per caseworker

  • As of July 2012:

    • 1752 in out of home placement

    • 122 children on trial home visits

    • 51% have a reunification plan

    • 39% have a plan of adoption

    • Approximately 3% have PPLA plan


Prior change initiatives
Prior Change Initiatives

Federal Consent Degree

Structured Decision Making

Concurrent Planning

CFSR Round 1 Program Improvement Plan

CFSR Round 2 Program Improvement Plan

Safety Management Model


Previous implementation strategies
Previous Implementation Strategies

  • Identify best practices

  • Revise agency policy and procedures

  • Modify systems, e.g., SACWIS, forms, etc.

  • Provide training

  • Conduct quality assurance

    • Management Information reports

    • Case review

  • Provide more training

  • Provide additional training


New mexico practice model
New Mexico Practice Model

  • Piñon Project

    • Defines how we engage and work with children, youth, families, and stakeholders

    • Focuses on the safety, permanency, and well-being of children and their families

    • Underway since November 2009

    • Supported by the Mountains and Plains Child Welfare Implementation Center (MPCWIC).


Doing things differently
Doing Things Differently

“Bottom Up” rather than “Top Down” approach

Application of Implementation Research


Application of implementation research
Application of Implementation Research

  • Practice, program and systems change through fully integrated use of:

    • Implementation Stages

    • Implementation Drivers

    • Implementation Teams

    • Improvement Cycles


Stages in implementation
Stages in Implementation

Two to four years

Major Implementation Initiatives occur in stages:

  • Exploration

  • Installation

  • Initial Implementation

  • Full Implementation



Selecting the correct strategy
Selecting the Correct Strategy

  • Different strategies for different challenges

    • Technical Leadership

    • Adaptive Leadership

  • Change efforts “get stuck” because we are using technical approaches for adaptive issues


Technical challenges
Technical Challenges

Perspectives are aligned (views, values)

Definition of the problem is clear

Solution and implementation of the solution is clear

Primary locus of responsibility for organizing the work is the leader


Adaptive challenges
Adaptive Challenges

Legitimate, yet competing perspectives emerge

Definition of the problem is unclear

Solution and implementation is unclear and requires learning

Primary locus of responsibility is not the leader


Discovering the adaptive challenge
Discovering the Adaptive Challenge

Your Aspiration

Your Current Reality

Adaptive Leadership

ADAPTIVE CHALLENGE


New mexico s approach
New Mexico’s Approach

  • Continued with necessary technical solutions

    • Develop practice standards

    • Revise policies and procedures

    • Modify quality assurance practices

    • Communicate expectations

  • Expanded agency capacity to do adaptive work

    • National Resource Center for Organizational Improvement & Cambridge Leadership Associates


Tools for practicing adaptive leadership
Tools for Practicing Adaptive Leadership

Discovering the Adaptive Challenge

Personalizing the Adaptive challenge

Mapping the System

Case Consultation

Office Hours


New mexico s approach1
New Mexico’s Approach

  • Series of planning sessions with NRCOI & CLA

  • Two Day On-site training in January 2012

    • Involved staff from implementation sites

  • Implement Office Hours in implementation sites

    • Ongoing work by the staff on one of the four adaptive challenges

    • Monthly meetings with office team and executive sponsors

    • Design and implementation of a series of mini- experiments

    • Scaling efforts


Lessons learned
Lessons Learned

Diagnostic efforts are critical

Experiments don’t always succeed – but you learn from successes and failures

Important to identify measurements

Anticipate and acknowledge loss and the various ways it may be expressed

Be clear about why participants are being asked to change or experience the loss



Presenters:

Annamarie Luna

Program Deputy Director

Protective Services Division

Children, Youth & Families Department

[email protected]

Brenda Manus

Practice Improvement Bureau

Protective Services Division

Children, Youth & Families Department

[email protected]


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