1	Institute for Community Collaborative Studies California State University Monterey Bay Evidence Based Aspects of the Matrix Model Brad Richardson, Ph.D. University of Iowa School of Social Work, National Resource Center for Family Centered Practice & Ellen Rodriguez Broward County Family Success Center June 16, 2005
2	UI SSW NRC/FCP
3	National Resource Center for Family Centered Practice About NRCFCP Training Research/Evaluation Tech Assistance Pubs Family Development Certification Cultural Competency DMC Resource Center Latino Institute Ask Doctors Outcome www.uiowa.edu/~nrcfcp
4	National Resource Center for Family Centered Practice University of Iowa School of Social Work UI SSW NRC/FCP
5	Network Guide to Measuring Family Development Outcomes Iowa – Automated Assessment of Family Progress (AAFP) Illinois/Pennsylvania – [Bucks Co.] Family Self-Sufficiency Scale Minnesota - Self Reliance Achievement Scale (SRAS) Pennsylvania – ROMA Tracking System Broward County Florida – Family Success/Family Development Model
6	The Matrix Model in Broward County Florida Study Focus: Program participant outcomes Interagency Collaboration
7	Why Evaluate the Family Development Matrix Model? In addition to, are we achieving the outcomes? How is our ability to tailor services Has access increased Are we including family and other supports Have we enhanced ability to build on family and community strengths and resources Sustained achievement of goals Historical and baseline document & QA
8	Jumping the Gap
9	Service Delivery Innovations Strength-based practice Outcome evaluation Family partnerships and cultural competence Community Collaboration Full continuum of flexible community-based services
10	Why Collaboration? Single point of contact to insure continuity over time and coordination across agencies/programs Access to specialized services and supports Improved planning and service delivery due to cross agency and interdisciplinary expertise (consensus decision making) Cost effective and less redundant Outcomes for community
11	Mutual Benefit The achievements of the collaborative are greater than the sum of the achievements of the partners Common goals All interventions may have merit Evaluation can be used to understand successes and identify improvement areas
12	Assumption of Positive Intent Assume Others* try as hard as you. Assume Others* care as much as you. Assume Others* manage money and resources as well as you. Understand that solutions require joint activity not blame.
13	Others*
14	Beliefs And Values Pertaining To Families Must Be Re-evaluated Because… Families have complex needs. Children engage in provocative behaviors. “Mental illness” Diagnosis Deficits Pathology Treatment “Mental health” State of being Strength Wellness Support
15	Family Development Matrix
16	The Problem We Face…
17	We Must Change… ( …especially relative to families and caring others beings involved.
18	What is Family Success?
19	Key Innovations
20	Fragmentation Listen to the Family’s situation. Restate what you have heard using Matrix indicators. Ask more questions to cover the Matrix categories. Score each category together.
21	Consequences of Misfit:
22	Why Family Development Works
23	Under-Serving & Over-Serving
24	Individualized & Strength-Based
25	Individualized & Strength-Based Service Delivery
26	Individualized, Strength-Based, Family-Focused Service Delivery
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34	"Really know the family" Really know the family Really know the caring others Holistic Acknowledge, respect and admire achievements Recognize where they have been, how they got there, and where they are going
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37	Strengths Discovery
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43	"Matrix records (statistical analysis..." Matrix records (statistical analysis of quantitative data). Interviews with Clients (group, individual & telephone follow-ups). Face-to-face interviews with staff & administrators (group and individual). Face-to-face interviews with providers (individual and group). Community collaboration survey of providers (in person, fax, group).
44	"Jerry Endres" Jerry Endres, Principal Investigator Brad Richardson, Co-Principal Investigator Judi Sherman, Co-Investigator Funding by the Packard Foundation
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51	"Program Philosophy is a meaningful..." Program Philosophy is a meaningful change from Previous Model New philosophy influences interaction with families Practice learned at training, then coworkers Staff value helpfulness of staff, matrix model and focus on strengths, reputation as program
52	"Less paperwork" Less paperwork Better facility More time to communicate among staff
53	"FSC has gone from a..." FSC has gone from a “band aid” approach to a longer term family capacity building model. More referrals are being made to FSC. FSC is being used as a place to start. Provider Wish List - Would like to see more communication & coordination of services for each family + see thousand points of verbatims.
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57	"THINGS TO CONSIDER" THINGS TO CONSIDER…
58	Summary of Findings Program Participant Goals Achieved Outcomes measures showed significant positive change Satisfaction improved: Participants + Staff, Providers Community Collaboration Improved Start-up was 2 ½ years ago
59	Recommendations 1. Measure Tx Fidelity + Matrix Outcomes (QA, CQI…) 2. Use results to guide decisions (fine tuning) 3. Assessment of sustainability requires predictive validity 4. Improved locator information needed 5. Operate within capacity 6. Further research and analysis
60	Dilbert
61	Capacity and Outcomes
62	WEB SITE RESOURCES uiowa.edu/~nrcfcp National Resource Center for Family Centered Practice (DMC Resource Center) paperboat.com John Franz and Pat Miles; articles and slide presentations about WA mentalhealth.org/child SAMHSA Nat’l Mental Health Initiative air-dc.org/cecp Center for Effective Collaboration Practice ffcmh.org Federation of Families for Children’s Mental Health wbgh.com National Resource Network on Children and Family Mental Health Services dml.georgetown.edu National Technical Assistance Center for Children’s Mental Health fmhi.usf.edu Florida Research and Training Center on Children’s Mental Health rtc.pdx.edu Portland Oregon Research and Training Center on Family Support and Children’s Mental Health