SAMHSACMHS PreventionEarly Intervention Grant Programs - PowerPoint PPT Presentation
1 / 10
Title:
SAMHSACMHS PreventionEarly Intervention Grant Programs
Description:
The Incredible Years of SCOPES (School-based Community Oriented Psychiatric ... Email: anitabh_at_cox.net. Phone: 602-956-9711. What's Working, What Isn't and Why? ... – PowerPoint PPT presentation
Number of Views:41
Avg rating:3.0/5.0
Title: SAMHSACMHS PreventionEarly Intervention Grant Programs
1
SAMHSA/CMHS Prevention/Early Intervention Grant
Programs
Whats Working, What Isnt and Why? Obstacles and
Opportunities in Implementation of Evidence-Based
Interventions (EBIs) April 28, 2004
- Anita Hicks, ACSW, Clinical Director
- The Incredible Years of SCOPES (School-based
Community Oriented Psychiatric/Educational
Services), Phoenix, Arizona
Email anitabh_at_cox.net Phone 602-956-9711
2
Targeted Capacity Grantees Experiences
Obstacles to TRAINING for Implementation of EBIs
- Lack of Clarity on Part of Grantees Regarding
- Time necessary for integration of materials and
coordination of staff - Amount of experience required prior to
certification as facilitator - Expectations of training and developers role in
the program implementation - Fees charged and services delivered by developer
3
Solutions to Obstacles
Targeted Capacity Grantees Experiences
- Familiarity with EBI materials prior to
submission of grant proposal - Reduction in client numbers to reflect training
and capacity of staff - Delay in timing of program for target groups
until completion of training - Consultation between SAMHSA and developers
regarding realistic implementation and outcomes
for time-limited grants
4
Real World Obstacles to Implementation
Targeted Capacity Grantees Experiences
- Lack of Enrollment in Parent Groups at Designated
Child Care Centers - Solution Establish incentives for staff and
parents - Transience of Families Participating in
Prevention Programs - Solution Clarify housing plans
- Inappropriate Referral of Families Needing
Intervention rather than Prevention - Solution Educate referral sources
- Differences in Perception of Cultural Issues
within Communities - Solution Talk and listen to partners
5
System Challenges to Quality Implementation
- Complexity of multiple agencies partnering to
deliver a program - Power struggles within and between partner
agencies - Lack of cooperation due to clinical and
administrative staff turnover - Coordination of services when multiple grants
blur lines of responsibility
6
School-Site Based Challenges
- Establishing collegial relationships with many
levels of school district staff - Classroom student and staff turnover
- Classroom sizes (30) with many limited English
speaking students - Lack of reinforcement of prevention curriculum by
small percentage of teachers - Time constraints curtailing teacher participation
in classroom behavior management course - School district budget cuts impacting staff morale
7
Successful Strategies Systems
- Agreement and cooperation of partners regarding
needs and goals of program - Selection of EBI that best meets goals following
comprehensive study of materials - Establish incentives for administrators and
clients - Ensure internal clinical leader has adequate
administrative authority
8
Successful Strategies School-Based Sites
- On-going collaboration with school principals
regarding school needs and program contributions
to school mission - Regular meetings with teachers to ensure
integration of prevention program activities into
mandated curriculum - Competent staff that functions as team and
engages with school personnel - Knowledgeable internal clinical advocate with
perseverance and commitment - Dont force the program where it is unwanted
- Accept non-participation in program if it is a
poor fit between EBI and individual teacher
9
Suggestions to SAMHSA
- Expansion of training resources, technical
assistance and conferences - Establishment of network for peer consultation
and dialogue to build support framework for
grantees - Clear expectations for outcome data
- All of these have been implemented!
10
Much of What I Needed to Know I Learned as a
Therapist
Implementation is like therapy. It is about
establishing relationships, listening and
maintaining lines of communication. To quote
E.M. Forster Only Connect
Recommended
CrystalGraphics Presentations
