Performance Monitoring Tool (PMT)

Transcription

1 Jeffrey Walter, Board Chair Linda Rosenberg, MSW, President and CEO Performance Monitoring Tool (PMT) Tracking progress is an important part of systems change. In order to be successful; organizations should have a clear understanding of where they are starting, where they want to go, and tools to measure their progress along the way. This allows team members and others interested in the work to remain enthusiastic and to determine what is working and what is not. It creates the opportunity for the team to regroup, refocus and monitor momentum. This simple tool is one way to stay on track. Your team will submit the Performance Monitoring Tool (PMT) to your National Council faculty lead three times during the duration of the Learning Community. Once submitted, your faculty lead will schedule a team call to review your progress, help you think through your next steps and address any challenges your team might be facing.

2 INFRASTRUCTURE DEVELOPMENT 1. Our Core Implementation Team (CIT) continues to meet regularly (at least 1xmonthly) YES How often does the CIT meet? 2. We have a larger oversight team or committee that supports TIC? How often do they meet? Who is on the oversight team? 3. Our organization has broadened the number of staff involved in TIC related workgroups beyond the CIT Describe your efforts to broaden the number of staff involved in TIC workgroups or teams Additional accomplishments, key challenges and future plans related to infrastructure: 1

3 Domain 1: SCREENING AND ASSESSMENT 1. Intake forms and process includes questions to screen for trauma What instrument is used How many clients screened positive for trauma? 2. We have a system in place to screen again later as needed When is this done? Service Planning Meetings Individual Sessions Other 3. Positive screen for trauma leads to more in-depth assessment of trauma and its impact Which assessment instrument is used? 4. Positive assessment of trauma leads to the development of related service plan goals with the consumer 5. Service planning involves offering consumers options regarding trauma focused therapies What options are offered? TREM TARGET TAMAR EMDR WRAP SEEKING SAFETY CBT for Trauma Other trauma specific practices 6. Screening and assessment improvement efforts have been made since joining this Learning Community No YES Who have you involved? Clinical Staff Consumers Others 2

4 7. Policies and procedures have been updated to address trauma related to screening and assessment No Which policies and procedures were updated? 8. Trauma assessments have led to changes in diagnoses No 9. We train staff on the use of screening and/or assessment instruments No How many staff trained? Additional accomplishments, key challenges and future plans related to this domain 3

5 Domain 2: CONSUMER DRIVEN CARE AND SERVICES 1. We have hired consumers with trauma histories to work in our program How many consumers are currently employees of your organization 2. We have consumers working with us as volunteers How many consumers volunteer in your organization? 3. We involve paid consumers and/or consumer volunteers in the following activities (Check all that apply) Advisory councils/boards/committees that influence organizational policy Direct clinical services to clients (e.g., therapy groups) Coaching/mentoring of clients Welcoming and orienting new clients to the program Conducting evaluation surveys and holding focus groups with clients Staff training and presentations on trauma informed care Other 4. Policies have been formally changed to include the involvement of consumers (paid or volunteer) in influential roles, activities and evaluation of the organization 5. We regularly seek feedback from the clients we serve How is this accomplished? Surveys Focus Groups Group Sessions Individual Sessions Other 4

6 Additional accomplishments, key challenges and future plans related to this domain Domain 3: TRAUMA INFORMED, EDUCATED AND RESPONSIVE WORKFORCE 1. Our organization s job advertisements include a preference for experience with or knowledge of TIC 2. We have one or more consumers involved in interviews for new employees 3. Our interviews for clinical staff include questions related to their understanding of or experience with working with individuals with trauma histories 4. Our orientation program for new employees includes training on trauma informed care principles and practices 5

7 5. Performance evaluations for employees includes TIC standards (e.g., treating clients and coworkers with respect, promoting a safe environment, identifying practices, policies and environmental conditions that compromise emotional/physical safety) 6. Since beginning this Learning Community, formal changes have been made to our policies and procedures regarding workforce development and trauma informed care YES What policies and procedures have been changed? 7. We have expanded the role of supervision to promote TIC principles and practices YES (Continued on next page) Check all that apply: Facilitates debriefing after stressful events and encounters in the workplace Check-ins with staff re: work related stress affected by workplace and outside of workplace stresses Raises the importance of exploring trauma related factors with respect to clinical discussions and formal case reviews Used to reinforce trauma-focused clinical skills Other: 8. We have developed the basic knowledge and awareness of TIC within our workforce Training has been provided to the following employees: (Check all that apply) Paraprofessional direct service staff Professional Direct service practitioners Leadership (administrators, directors, supervisors) Board of Directors Primary care staff Administrative/clerical staff Transportation staff Dietary (food service) staff Security staff Total number of staff trained in basics of TIC since the inception of the Trauma Informed Care Learning Community: We have surveyed the impact of the presentation on the participants 6

8 YES Type of survey used 9. We have trained clinical staff on trauma treatment specific competencies/evidence based practices We have trained staff on: TREM TARGET TAMAR EMDR WRAP SEEKING SAFETY CBT for trauma Other trauma specific practices 10. Consumers are involved in presenting their stories and experiences to staff during training on Trauma/TIC Additional accomplishments, key challenges and future plans related to this domain 7

9 Domain 4: TRAUMA INFORMED, EVIDENCE BASED AND EMERGING BEST PRACTICES 1. We offer clients with trauma related problems one or more evidence-based/emerging best practices The following practices are offered: TREM TARGET TAMAR EMDR WRAP SEEKING SAFETY CBT for trauma Other trauma specific practices Number of staff trained to provide one or more trauma specific service in Individual modalities Group modalities Estimate of the % of total clients in the program who are involved in a trauma specific service using individual and/or group modalities: Less than 10% 11-25% % % % Number of paid or volunteer consumers that are involved in one of more trauma specific service (e.g., as co-leaders with clinical staff) How many consumers are involved? 2. Staff and peers who are involved in trauma specific services receive ongoing supervision 3. The organization has a way to assess the benefits/outcomes for clients receiving trauma specific services Effectiveness of the trauma specific practice is determined by these measures: Increase in resilience Mental Health improvement Substance use improvement PTSD symptom reduction Overall improved daily functioning Other 8

10 Additional accomplishments, key challenges and future plans related to this domain Domain 5: SAFE AND SECURE ENVIRONMENT 1. We have a system in place to assess the comfort and safety of our environment Check all that apply We have a team that performs this function This team includes consumers We use a standard tool to accomplish this We perform this function times per year We have made changes within our organization according to the findings of the assessment We have reported on the changes made to others in our organization 2. Policies and procedures have been revised to address safe and secure environment Which policies and procedures? 3. Revisions have been made to our incident review process Number/rate of incidents have been reduced from to 9

11 4. We use various methods to elicit consumer feedback regarding the comfort and safety of our organization We have done this through: Surveys Focus Groups Group Sessions Individual Sessions Community Meetings Other Describe other 5. We use a variety of methods to elicit staff feedback regarding the comfort and safety of our organization We have done this through: Surveys Focus Groups Meetings Other Describe other 6. We have delivered training to staff to promote skills to prevent and manage crises/incidents in a trauma informed manner Title of training Number of staff trained Staff surveyed regarding response to training: NO YES 7. We have a system in place to provide support to staff following incidents/crises YES (we started/expanded this since we joined this Learning Community) This is done through: CISD Supervision EAP Other Describe 8. We provide training on Compassion Fatigue to address secondary trauma in the workplace 10

12 Additional accomplishments, key challenges and future plans related to this domain 11

13 Domain 6: COMMUNITY OUTREACH AND PARTNERSHIP BUILDING 1. Our organization engages community entities that affect the lives of our clients (e.g., housing programs, local community shelters and other safety net programs, law enforcement, corrections, inpatient/outpatient primary and specialty health care providers, schools and employment programs Type of outreach and engagement activities employed: Trauma Informed Care awareness building presentations Number of people reached Organized multi-agency Trauma Informed Care work groups/committees across a variety of community entities Community wide educational conferences/forums or town hall meetings Other collaborative efforts 2. Our organization involves consumers in community outreach activities such as awareness building presentations and participation in multi-agency work groups 3. With the client s permission, our organization identifies and invites to service planning meetings, those community organizations in the client s life that may contribute to the coordination of care and service planning 4. Our organization reaches out to family members, consumers, local organizations, and the general public to educate and inform them about the prevalence and impact of trauma and how to promote healing, recovery and resiliency We use the following communication methods: Social media websites newsletters posters billboards Marketing letters brochures Other 12

14 Domain 7: ONGOING PERFORMANCE IMPROVEMENT AND EVALUATION 1. Our organization has a system in place to track and analyze performance on one or more trauma-informed care domains in a way that effectively addresses challenges and reinforces progress 2. Our organization has a system in place to collect, analyze and organize data in a way that enables our team to share progress and challenges with leadership, agency board, staff and consumers. We are able to present data in a manner that is clear and easy to understand (e.g., simple graphs that illustrate whether the program is staying level, improving or declining in a particular domain). Additional accomplishments, key challenges and future plans related to this domain 13