Mental Health In this conversation well talk about Who is - PowerPoint PPT Presentation

FEBRUARY 9, 2017 Mental Health

In this conversation we’ll talk about… • Who is Informing Change and why are we with you today? • Why create a Theory of Change (ToC) for Mental Health? • What is a ToC? • What are the components of the Mental Health ToC? • How can your organization use the Mental Health ToC to move your work forward? • Questions & Reflections 1

Who we are… Our mission is to help organizations improve their effectiveness, build a culture of learning and continuous improvement, and maximize impact, through: • Strategy development • Applied research • Evaluation • Building data capacity Experience in fields that focus on improving the lives and work of individuals, organizations, communities and societies • Health • Education • Youth Engagement • Leadership • Philanthropy 2

Purpose of Creating a ToC Integrates intention, evaluation, learning and outcome measurement • For grantees – explains how their work supports the f oundation’s ToC • For the foundation – provides a framework to assess the extent to which they moving the needle toward their intended outcomes 3

Theory of Change vs Logic Model • Logic models graphically illustrate program components and helps stakeholders clearly identify outcomes, inputs and activities • Theories of Change link outcomes and activities to explain HOW and WHY the desired change is expected to come about 4

Theory of Change vs Logic Model • Logic Models require identifying program components, so you can see if outcomes are in sync with inputs and activities; • Theories of Change are a causal model that start with a goal; they also require justifications; at each juncture you have to articulate the hypothesis about WHY something will cause something else 5

Process for Creating the ToC Work with internal and external stakeholders • Discuss individual elements of the ToC • Map elements to each other to ensure internal integrity • Receive feedback and use iteration 6

Theory of Change (ToC) Components Purpose Shor ort- Long ng- Guid idin ing g Part rtne ners rs Barr rrie iers rs Stra rate tegie gie term rm term rm Prin inci ciple ple s Outc tcom omes es Outc tcom omes es s Ultimate Impact 7

Purpose Statement DEFINITION: • A single statement of the organization’s overall purpose • For organizations, the purpose is often the same or very similar to the mission of an organization — depending on how fresh or useful the mission statement is To improve the availability and quality of mental / behavioral health services. 8

Ultimate Impact Statement DEFINITION: • In the long term, how will the world look when the organization has achieved is purpose? • Aspirational; often similar to an organization's vision statement • The organization makes a contribution to the overall ultimate impact, which takes into consideration what others are doing Mental / behavioral health supports will enable people to improve their state of well-being and live healthy and resilient lives in the community. 9

Guiding Principles DEFINITION: The values that undergird the organization’s work and the rationale for an organization’s approach to its work • Understanding the conditions and adverse experiences a person has gone through can help guide treatment and care • Services need to be culturally responsive and equitable • The continuum of services includes being responsive to prevention, treatment and recovery over the lifespan • Effective systems of care integrate mental / behavioral health with medical care • Stable, healthy organizations provide better care and services 10

Partners DEFINITION: • Who does the organization intend to affect with its strategies? • Constituencies can include individuals, organizations, networks, a field or sector; they can include a geographic description • As needed, constituencies may be prioritized (e.g., primary, secondary, tertiary) • All uninsured, underserved and vulnerable populations in our service area • Community mental health centers, community-based organizations and public systems 11

Barriers DEFINITION: The specific conditions that the organization hopes to change through its programs or services. • Individuals lack adequate access to and coverage for services • Services are difficult to navigate and often fragmented • Consumers can have complex clinical and practical needs • The current financial environment does not match funding needs of systems and providers • Perpetual workforce gaps impede service stability • Stigma associated with mental illness 12

Strategies DEFINITION: • A plan of action to produce a desired goal • Strategies should not be confused with tactics, which are the specific activities to pursue to implement an overall strategy • A strategy should remain consistent over a period of time, whereas the tactics used to achieve that strategy may shift over time Improve Capacity • Advance strategies that deepen workforce and leadership capacity – e.g. Targeted recruitment, advance credentialing and training • Fund core operating support that leads to organizational improvement, builds infrastructure or promotes sustainability – e.g. “Keep the lights on”, pay for IT, consultants, staffing • Develop strategic and accountable partnerships that lead to enhanced continuum of care – e.g. Memorandums of Agreement, co-location/ integration, shared back office support 13

Strategies DEFINITION: • A plan of action to produce a desired goal Improve Access • Promote policies, practices and technology that increase coverage, affordability and availability of services – e.g. Policies within an organization and also in the broader political landscape; or advancing the use of health information technology • Support place-based services and strategies – e.g. MH services at schools, community centers, jails, churches etc. • Encourage coordinated care and linkages among multiple agencies and partners – e.g. An agency that provides MH services also provides other services such as supportive housing, employment counseling etc. • Support outreach strategies to inform and engage target populations – e.g. Everything from collecting informed consent for services to creative solutions to reduce stigma, engage youth, suicide prevention etc. 14

Strategies DEFINITION: • A plan of action to produce a desired goal Improve Quality Practice • Encourage the use of emerging or best practices that are evidence based – e.g. Using an established practice on SAMHSA or other resource websites, but if no EBP exists, using a promising practice • Support services that are family focused, person-centered, culturally responsive and trauma informed – e.g. Meeting people where they are with regard to services • Support the integration of services into primary care settings 15

Short-term Outcomes (1 – 3 years) DEFINITION: • A measureable result or change an organization would like to see take place over time; stems directly from what the strategies are designed to accomplish • Different from outputs, which are quantifiable activities, services or events that reach target constituencies and are often identified as milestones or benchmarks Improve Capacity • Increased retention of quality staff and leadership • Improved organizational structures that promote sustainable high quality service • Enhanced partnerships that improve efficiency and sustainability 16

Short-term Outcomes (1 – 3 years) DEFINITION: • A measureable result or change an organization would like to see take place over time; stems directly from what the strategies are designed to accomplish Improve Access • More affordable, available and convenient preventative and treatment services • Consumers successfully navigate through service delivery systems • Improved individual and community engagement in mental / behavioral health wellness 17

Short-term Outcomes (1 – 3 years) DEFINITION: • A measureable result or change an organization would like to see take place over time; stems directly from what the strategies are designed to accomplish Improve Quality Practice • Improved mental / behavioral health outcomes for consumers • Improved use of evidence based practices in service delivery • Consumer satisfaction with service delivery • Greater integration of services 18

Long-term Outcomes (3 – 5 years) DEFINITION: • A measureable result or change an organization would like to see take place over time; stems directly from what the strategies are designed to accomplish Better Health Better Care 19

Key Takeaways Understand the intersection between: • Your strategies and outcomes and those of HCF • The Mental Health ToC and RFP 20

Key Takeaway Discussion • What did you learn today that has value for you? • What lingering questions do you still have? 21

Thank You 22