Readiness for capacity building Ab ra ha m Wa nde rsma n, PhD Unive - PowerPoint PPT Presentation

Readiness for capacity building Ab ra ha m Wa nde rsma n, PhD Unive rsity o f So uth Ca ro lina

Great ideas…

… don’t always lead to outcomes

Innovation with the best of intentions

Why do innovations fail? L a c k o f mo tiva tio n L o w c a pa c ity to ma ke the inno va tio n ha ppe n L o w c a pa c ity in g e ne ra l … they weren’t ready

Readiness is like a recipe

…and recipes vary by what you’re trying to make

“Readiness is all” - Willia m Sha ke spe a re , Ha mle t, Ac t 5 Re a dy Stra te g ic Amb itio us initia tive s c a n b e ne fit b y b e ing Ac c o unta b le

What is readiness? Ready to Implement Culture Climate Organizational Innovativeness Resource Utilization Leadership Structure General Capacity Staff Capacity Process Capacity I nno va tio n: Any po lic y, pro g ra m, o r pro c e ss tha t is ne w to a se tting

What is readiness? Ready to Implement Intervention-specific Knowledge & Skills Program Champion Supportive Climate Inter-organizational Relationships General Capacity Innovation-Specific Capacity

What is readiness? Ready to Implement Relative Advantage Complexity Ability to Pilot Observability Priority Compatibility General Capacity Motivation Innovation-Specific Capacity

What is readiness? Readiness = Motivation R = MC 2 2 x Capacity (innovation-specific) x Capacity (general)

Settings where R=MC 2 has been applied Public schools Community colleges Cancer centers Behavioral health centers Community coalitions Juvenile detention centers Fatherhood Programs Rural clinics in India Teen pregnancy prevention centers Federally-subsidized healthcare clinics

How can we create healthy communities? Wha t do the inha b ita nts o f so c ia l ho using ne e d? Write thre e po sitive c ha ng e s yo ur c o mmunity c o uld ma ke .

Na tio na l Sta te / Pro vinc e Co mmunity Org a niza tio n T e a m I ndividua l Levels of readiness

A Readiness Story

L e a de rship “[Our] organizational Re so urc e s readiness has stayed constant from a resources perspective” Pro g ra m Cha mpio n I n-te a m c o lla b o ra tio n Readiness facilitators

“the behavioral health team is “I don’t feel as more ready than others - more connected to the cognizant of who we need practice as I do my assistance from” department” Mental Health Physicians Providers Readiness barriers

Me a sure Build I de ntify Hig hs Diffe re nc e s Sta ff & lo ws b e twe e n te a ms Re tre a t Building readiness

What innovations does social housing need?

How is readiness used? de sig n A to o l to me a sure re fle c t

…to design

…to design

…to design

…to design “Guide imple me nta tio n” “De sig n suppo rt” “De ve lo p c a pa c ity”

…to design (and measure) Level 1 Level 2 Level 3 Level 4 We have a clear In our We do not have We are in the While we have a vision statement. organization… a cohesive process of vision about We share the mission at this developing our where we want same values and time that helps vision and to go, we do not goals for our us unify our mission to help always agree work. activities. unify our about what is activities. important to us. Readiness Innovation Configuration Map (RICM)

…to measure

…to measure Re la tive Adva nta g e Mo tiva tio n Readiness Monitoring Tool (RMT)

…to measure Re a dine ss va rie s b y c o nte xt

…to measure Motivation 7 6,5 6 5,42 5,5 5,27 5,2 4,93 5 4,67 4,55 4,5 4,42 4,33 4,3 4,5 3,83 4 3,78 3,78 3,5 3 2,67 2,5 2 Relative Compatability Simplicity Ability to Pilot Observability Priority Joy Advantage AP2 AP3 Re a dine ss c ha ng e s o ve r time

…to measure Re a dine ss de pe nds o n po sitio n

…to measure Asse ss Re a dine ss Pla n Ac t Do Study Activity-specific Readiness Tool (ART)

…to reflect

…to reflect

…to reflect Targeted Readiness Interview Guide (TRIG)

Map of readiness tools These make up the innovation Innovation Components Innovation Innovation Components Innovation Components Readiness Monitoring Tool Objective (RMT) Indicators 1. Motivation Activity Readiness Tools (in development) 2. Innovation-specific capacity 3. General capacity (ART) 1. Motivation Readiness 2. Innovation-specific capacity Targeted Readiness Innovation- Interview Guide Configuration (TRIG) Map (RICM)

How can we create healthy communities? Wha t a re 3 thing s tha t fa c ilita te c ha ng e in yo ur c o mmunity? Wha t a re 3 thing s tha t slo w do wn c ha ng e ? Ho w c a n yo u b e mo re re a dy?

Readiness thinking Innovation-Specific Motivation General Capacity Capacity Do we func tio n we ll o ve ra ll? Do we ha ve wha t we ne e d to Do e s this se e m b e tte r tha n the ma ke this ha ppe n? a lte rna tive s? Wha t a re the e xpe c ta tio ns fo r ho w we do thing s? Do we ha ve the rig ht kno wle dg e Ho w we ll wo uld this fit in o ur a nd skills to ma ke this ha ppe n? c o nte xt? Ho w do we fe e l a b o ut b e ing he re ? Are the re impo rta nt pe o ple tha t Ho w c o mplic a te d wo uld this b e ? wo uld suppo rt this? Ho w do we fe e l a b o ut c ha ng e ? Ho w e a sy wo uld it b e to te st this Do we ha ve the o ve ra ll suppo rt o ut? Ho w c le a r is it whe re we g e t a nd a nd struc ture to e na b le this? use o ur re so urc e s? Wo uld we b e a b le to se e the e ffe c t Do we ha ve c o nne c tio ns to o f this in “sma ll wins”? Ho w e ffe c tive a re o ur le a de rs? o the r pe o ple o r pla c e s to he lp us Ho w impo rta nt is this c o mpa re d to do this? Ho w we ll do we func tio n da y-to - o the r prio ritie s? da y? Ho w e xpe rie nc e d a nd skillful a re we ?

A Readiness Story (revisited) “It’s made us aware of where we stand" “[Readiness is] a mental state of where we are…of each provider to stretch beyond their comfort zone”

Takeaways Re a dine ss is ke y to suc c e ssful c ha ng e Re a dine ss va rie s o ve r time Re a dine ss is a to o l fo r pla nning impro ve me nts, c ho o sing inno va tio ns, me a sure me nt, a nd c o a c hing

What resonated with you today? Motivation General Capacity Innovation-Specific Capacity

Co nta c t info rma tio n Abraham Wandersman, PhD wandersman@sc.edu Re le va nt pub lic a tio ns Scaccia, J. P., Cook, B. S., Lamont, A., Wandersman, A., Castellow, J., Katz, J., & Beidas, R. S. (2015). A practical implementation science heuristic for organizational readiness: R= MC2. Journal of Community Psychology , 43 (4), 484-501. Scott, V.C., Kenworthy, T., Godly-Reynolds, E., Bastien, G., Scaccia, J., Gadaire, A., …Wandersman, A. (2017). The Readiness for Integrated Care Questionnaire (RIC-Q): A new tool to assess readiness to integrate behavioral health and primary care. American Journal of Orthopsychiatry. Advance online publication. http://dx.doi.org/10.1037/ort0000270