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CAPTAIN Summit 2022

Regional Planning

CAPTAIN Region: Central Valley

Making Implementation Happen. Bridging the Research to Practice Gap.

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12:00 - 2:00 PM�Green are new additions for you to consider

  • Icebreaker/introductions: Share your name, role, agency & a fun fact about yourself!
  • Discuss CAPTAIN Cadre Requirements (15 min) Link to cadre requirements
    • Updated requirements:
      • 6 Regional Meetings/year
      • Use the CAPTAIN Data Systemhttps://captaindata.org/

  • Take time now to schedule the 6 meetings
    • First Thursday of every month- 3:00-4:00

  • Update Goal Progress from 2021-22 (15 min)
    • Determine if there is an ongoing need of any of the 2021-22 goals
    • If so, modify and adopt goal for 2022-2023

  • Develop new Goals (if necessary) for 2022-2023
    • Consider CAPTAIN intention to include the voices and perspective of people with Autism
    • Consider ongoing intention to coordinate interagency (Reg Ctr; Fam Support; Higher Ed; Schools) collaboration in Regional Activities (e.g., trainings, products, conference presentations, events, etc.)
    • Identify the Regional Issue, Challenge or Need (20 min)
    • Determining Root Cause using the 5 Whys (20 min)
    • Brainstorming Change Ideas (15 min)
    • Developing Goals and Action Plans (20 min)
  • Closer: Social Media Activity: Make a jingle, chant or cheer for: "Data is Delicious“ then post on CAPTAIN Social Media (15 min)

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2022-2023 Regional Network Goals

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Two Regional Goals Established by Regional Network Members

    • Goal 1: Collaboration to address a region specific need, issue or challenge that relates to individuals with ASD

    • Goal 2: Strategic dissemination to groups identified by the region as needing to know about ASD and EBPs/CAPTAIN

Note: CAPTAIN Implementation Goals will continue to be addressed by SELPA/School Region Members with support from RILs during their Job Alike Regional Meetings

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Goal Area 1 (Collaboration): How can Cadre Collaborate to address the region’s specific need, issue or challenge that relates to individual with ASD and their families

GAS Score (1-4)

What influenced/supported our accomplishments?

What were barriers to our work?

Objective 4: minimum of 5 agencies (individual SELPAS, FRCs, or CVRC) with 5 different inter-agency collaborative efforts (i.e., ECHO model case study within our cadre, a representative from one SELPA providing a training to another SELPA, regional center providing a training with a SELPA, SELPA and FRC providing a joint collaborative training, SELPA providing a training to an outside agency such as an ABA company, etc.).

met/exceeded Objective 4

  • Well written goal (measurable and attainable)
  • Our own CAPTAIN cadre with communicating across other agencies
  • Access to the target population (demand and need is there)
  • College coordinators were embedding practices into college prep programs
  • Advertisement with families increased participation
  • Embedding PD into PLCs and buy-back days
  • Virtual has increased parent participation
  • staffing shortage limits training attendance
  • How do we design the accessibility of information (targeted vs. broad)?
  • Our own roles have shifted so we are doing more and have less time.

Reflecting on Goals from 2021-2022

Region: Central Valley

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Goal Area 2 (Dissemination): How can members of our Regional Network strategically disseminate to groups identified by the region as needing to know about ASD and EBPs/CAPTAIN

GAS Score (1-4)

What influenced our accomplishments?

What were barriers to our work?

Objective 4: A minimum of 7 of our agencies (SELPAs, CVRC, FRCs) in our cadre will provide direct EBP dissemination to non-credentialed support providers (minimum of 2 sessions) to strengthen our next generation work force working with autism. (i.e. other community groups, universities, paraprofessionals, group home staff, day program staff, students in high school teacher prep programs, parents, individuals with autism/self-advocates, etc.).

met 3, almost 4…

  • Well written goal (measurable and attainable)
  • Access to information on the CAPTAIN website
  • Well organized systems, embedding EBPs & CAPTAIN mindset into future planning
  • Access to the target population (demand and need is there)
  • College coordinators were embedding practices into college prep programs
  • Advertisement with families increased participation
  • Embedding PD into PLCs and buy-back days
  • Virtual has increased parent participation
  • staffing shortage limits training attendance
  • How do we design the accessibility of information (targeted vs. broad)?
  • Our own roles have shifted so we are doing more and have less time.

Reflecting on Goals 2021-2022

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Central Valley

Regional Data from 2021-2022 Cadre Survey

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Region Demographics

Agencies represented

SELPAs

6

Regional Centers

1

Family Support Agencies

2

Higher Education

0

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Cadre that have “Met” or “Exceeded” CAPTAIN Requirements

Year

ASD Training

EBP Training

Coaching

Regional Meetings

Agency Leader Meetings

Direct Supervisor Meetings

2021-22

88%

26%

53%

54%

79%

92%

2020-21

74%

23%

32%

70%

70%

81%

2019-20

83%

44%

50%

70%

74%

83%

2018-19

86%

69%

53%

64%

91%

91%

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How many __ did you provide training for?

Total : 795

Special Education Teachers

195

General Education Teachers

107

Paraeducators

357

DIS Providers

86

NPA/NPS

6

Administrators

18

Parents/Caregivers

26

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My organization experiences challenges with…

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Serving those affected by ASD who reside in rural or hard to reach areas

1

6

5

2

6

Reaching and serving those affected by ASD from low income/low resource families

4

10

3

6

1

Reaching and serving those affected by ASD whose primary language is not English

2

10

2

7

2

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Barriers

Complexity of EBP

0

Challenges w/ unions

1

Lack of ongoing monitoring

0

Lack of implementation team

1

Lack of resources/ funding

0

Role does not allow for training

0

Staff turnover

0

Lack of subs/ staff

4

Lack of foundational skills

3

Lack of resources/ funding for training

0

Lack of admin support

0

Lack of staff buy-in

2

Teacher release time for coaching

1

Time allotted to conduct coaching

0

Teacher release time for training

2

Time allotted to conduct training

0

Time allotted to prepare for training

5

Insufficient exploration and planning

0

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Use PDSA: Testing One Change at a Time

Act

Plan

Do

Study

Adopt

Adapt

Abandon

Collect and Evaluate Data

Identify the Change

Implement the Change

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Next Steps

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Steps:

1. Brainstorm and use majority rules voting method to select our regions issue, challenge or need (Does it impact all of us? Can we influence it? Is it really important to us? Are we willing to put in the work?))

2. Do 5 Whys and prioritize the root cause

3. Identify change idea(s) for the underlying problem and action plan the change

4. Outline our goal and how you will measure it

5. Monitor to see if it was an effective change to improve the issue

6. Develop a way to sustain (or scale) the change idea

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2022-2023 Regional Goals

STEP 1:�DEFINE THE ISSUE, CHALLENGE OR NEED

  1. Parents of children with ASD are having difficulty accessing EBP training.

  • Children and adults who have Autism and mental health challenges within our region are not able to access proper mental health services.

  • Our CAPTAIN region has high placement of students with autism in non-public schools

EXAMPLES

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STEP 2:EXPLORE THE ROOT CAUSE OF THE PROBLEM��

  • Definition of Root Cause:

  • The deepest underlying cause, or causes, of positive or negative symptoms within any process that, if dissolved, would result in elimination, or substantial reduction, of the symptom.

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FIVE WHYS

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Samples

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Problem: Parents and Caregivers are having difficulty accessing trainings on EBPs

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WHY 1

Parent/caregivers have not historically attended CAPTAIN trainings that are offered by the schools

No

WHY 2

Because we offered the trainings during school day/ regular work hours

No

WHY 3

Because that’s when CAPTAIN schools Cadre are available to provide the training

No

WHY 4

Because CAPTAIN Cadre don’t get compensated and/or provided work hour adjustments if s/he were to give the trainings in the evenings

No

WHY 5

Because the union contract for some staff specify that they can only work within the regular school work day

Yes

EXAMPLE 1

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Problem: Children and adults who have Autism and mental health challenges within our region are not able to access proper mental health services.

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WHY 1

Because the Mental health providers do not know how to treat them

No

WHY 2

Because they believe that a person with ASD will not benefit from Traditional Mental Health counseling

No

WHY 3

Because they have not received accurate information or training about ASD or how to adapt Mental Health treatments for them

No

WHY 4

Because no one in our area has provided this training in a way that would attract MH providers and hold them accountable to use the EBPs

Maybe

WHY 5

Because it has not yet been a priority for this CAPTAIN Regional Team or the provider agencies

Yes

EXAMPLE 2

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Problem: Our CAPTAIN region has high placement of students with autism in non-public schools

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WHY 1

Because parents/caregivers request these placements.

No

WHY 2

Because school staff aren’t equipped to meet the needs of some students with autism

No

WHY 3

Because school staff don’t have adequate training and support to implement effective programming

No

WHY 4

Because skilled trainers don’t have enough training and coaching time to meet the staff needs

Yes

WHY 5

Because CAPTAIN cadre need dedicated time for training and coaching.

Yes

EXAMPLE 3

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Change Ideas: �What can we do to support a change?

  • What is our change idea(s)? Use post its to vote and narrow down change idea(s) if needed

  • How will we implement our change idea? Map out action steps and people responsible

  • How will we know if our change idea was an improvement? Decide on and collect data

  • How will we sustain the change idea?

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Change Ideas: �What can we do to support a change?

  • ADD LINK TO OTHER REGIONS GOALS (for examples)

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New Goals

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REGIONAL Problem of Practice: What issues, challenge or need exists for individual with Autism that our Regional Network wants to try to address?

Current Regional Issue, Challenge or Problems of Practice

Staffing shortages; increase in our population; Doctor’s not referring or telling families to wait on registering for school; parents need help with navigating the system; late registering kids (child find)

Probable Root Cause of the Problem (identify the top probable root cause)

COVID-19?, retiring staff, medical providers were inundated with COVID restrictions; population increases with shifting in early start eligibility (25%), staff shortage- “Brain drain” (people moving away for school and not returning); increases in minimum wage is difficult to compete with; technology over-use (children’s addictions to it); families choosing ABA vs. school services for preschool-age and not registering for school until age 6 (compensatory age)

-System Issues

-Post-COVID responses

-Different perspectives to address needs (clinical vs. educational)

Change Ideas (list 1 change idea for the probable root cause)

Staff training programs, reach-out to doctors, parent training/support for navigating about systems (use of CAPTAIN videos); parent training/education on screen time

IDEAS:

  • Trainings or collaborative groups for districts who are contracting with ABA agencies so the contracted work can be effectively merging the different avenues of expertise
  • Building capacity within school districts with better behavioral tech training with paras
  • Collaborate with medical agencies

Action plan to support change idea (may need additional space to action plan)

  • Include a self-advocate
  • Help Me Grow partnership (Valley Children’s, All4Youth, EPU, CalViva, Anthem Blue Cross, CSN, CVRC, First 5 Fresno County, FCSS, Department of Behavioral and Public Health, Social Services, United Way, Head Start, Fresno Unified, Clovis Unified)
    • Merced County has one, Fresno County has one, Tulare County has one with First Five

Expected Outcome if change idea is an improvement

Collaboration Goal with the dissemination in mind

Measurement of change

See goals

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Goal Area 1 (Collaboration): How can Cadre Collaborate to address the region’s specific need, issue or challenge that relates to individual with ASD and their families

Current Level of Performance Data (0)

Some of our CAPTAIN cadre participate in different collaborative groups across different agencies and within our own cadre (see previous goal)

Initial Objective (1)

Develop a minimum of 1 shared “master copy” presentations to disseminate information with the same message across different avenues (medical providers, general education, best practice evaluations, ABA providers, early interventionists, other private agencies, mental health providers, linking EBPs to UDL/SEL/PBIS/Other existing systems, etc.)

Secondary Objective (2)

Develop a minimum of 2 shared “master copy” presentations to disseminate information with the same message across different avenues (medical providers, general education, best practice evaluations, ABA providers, early interventionists, other private agencies, mental health providers, linking EBPs to UDL/SEL/PBIS/Other existing systems, etc.)

Expected level of Outcome (3)

Develop a minimum of 3 shared “master copy” presentations to disseminate information with the same message across different avenues (medical providers, general education, best practice evaluations, ABA providers, early interventionists, other private agencies, mental health providers, linking EBPs to UDL/SEL/PBIS/Other existing systems, etc.)

Exceeds Expected Outcome (4)

Develop a minimum of 4 shared “master copy” presentations to disseminate information with the same message across different avenues (medical providers, general education, best practice evaluations, ABA providers, early interventionists, other private agencies, mental health providers, linking EBPs to UDL/SEL/PBIS/Other existing systems, etc.)

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Goal Area 2 (Dissemination): How can members of our Regional Network strategically disseminate to groups identified by the region as needing to know about ASD and EBPs/CAPTAIN

Current Level of Performance Data (0)

Dissemination of different presentations across various audiences with topics covering overviews and EBPs.

Initial Objective (1)

Disseminate topic #1 to 3 audiences across our cadre.

Secondary Objective (2)

Disseminate topic #2 to 3 audiences across our cadre.

Expected level of Outcome (3)

Disseminate topic #3 to 3 audiences across our cadre.

Exceeds Expected Outcome (4)

Disseminate topic #4 to 3 audiences across our cadre.

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Social Media Activity: Make a jingle, chant or cheer for: "Data is Delicious“ then post on CAPTAIN Social Media

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Making Implementation Happen. Bridging the Research to Practice Gap.