v

Implementing and Sustaining Effective Programs and Services that Promote

theSocial-Emotional Development of Young

ChildrenPart I

Karen Blase, Barbara Smith, & Roxane Kaufmann

January 29, 2009

 

Implementing and Sustaining Effective Programs and Services that Promote

theSocial-Emotional Development of Young

ChildrenPart I

Karen Blase, Barbara Smith, & Roxane Kaufmann

January 29, 2009

 

TACSEI MissionTACSEI Mission

Identify, disseminate and promote the implementation of evidence-based practices in order to improve the social, emotional, and behavioral functioning of young children with or at risk for delays or disabilities.

Pyramid ModelPyramid Model

UniversalPromotion

SecondaryPrevention

TertiaryIntervention

OSEP EC Child OutcomesOSEP EC Child Outcomes

Positive social-emotional skills (including social relationships)

Acquisition and use of knowledge and skills (including early language/communication and early literacy for preschool)

Use of appropriate behavior to meet needs

Implementation & Sustainability

Implementation & Sustainability

Part I: Programmatic Implementation and Sustainability (Overview)

Part II: Sustainability Financing

Policies

Champions and Political Support

What Do We Mean by Implementation?

What Do We Mean by Implementation?

A specified set of activities designed to put into practice an activity or program of known dimensions.

Processes are purposeful and defined in sufficient detail such that independent observers can detect the presence and strength of these “specified activities”

Programmatic Sustainability: What Is It?

Programmatic Sustainability: What Is It?

Programmatic Sustainability refers to the capacity of a program, agency or community to implement, maintain, and continuously improve the skills and abilities of early childhood staff (over time and with turnover) to use evidence-based practices.

Pre-requisite: A defined set of practices to be implemented by staff

Pre-Requisite: Defining “IT”Pre-Requisite: Defining “IT”

Pre-requisites:The “it” must be operationalized whether it is:An Evidence-Based Practice or ProgramA Best Practice InitiativeA Systems Change Initiative

OperationalizePart of Speech:  verb Definition:  to define a concept

or variable so that it can be measured or expressed quantitativelyWebster's New Millennium™ Dictionary of English, Preview Edition (v 0.9.7)Copyright © 2003-2008 Lexico Publishing Group, LLC

Insufficient MethodsInsufficient Methods

Implementation by laws/ compliance by itself does not work

Implementation by “following the money” by itself does not work

Implementation without changing supporting roles and functions does not work

Fixsen, Naoom, Blase, Friedman, Wallace, 2005

Insufficient MethodsInsufficient Methods

Diffusion/dissemination of information by itself does

not lead to successful implementation

Training alone, no matter how well done, does not

lead to successful implementation

Fixsen, Naoom, Blase, Friedman, Wallace, 2005

  OUTCOMES

(% of Participants who Demonstrate Knowledge, Demonstrate new Skills in a Training Setting,

and Use new Skills in the Classroom)

TRAININGCOMPONENTS

KnowledgeSkill

DemonstrationUse in the Classroom

Theory and Discussion

 

10% 

5% 0%

..+Demonstration in Training

30%20%

0%

…+ Practice & Feedback in Training

60% 60% 5%

…+ Coaching in Classroom

95% 95% 95%  

Joyce and Showers, 2002

“What” AND “How”“What” AND “How”

To successfully implement and sustain the use of the Pyramid Model you need to understand:

The intervention framework (What - the Pyramid Model)

AND

Effective implementation and sustainability frameworks (How)

Population of Concern Intervention (the WHAT)

Strategies

Intervention

Outcomes

Children Birth through 5 with or at risk for delays or disabilities including children with challenging behavior

Competent use of the “Pyramid Model” framework and intervention strategies over time and across staff

Improved social and emotional competence, behavior & relationships among children, their families & other caregivers

TACSEI Logic Model for Implementation & Sustainability

TACSEI and the TA Center for State Implementation and Scaling Up of Evidence-Based Practices

Population of Concern Intervention (the WHAT)

Strategies

Intervention

Outcomes

Children Birth through 5 with or at risk for delays or disabilities including children with challenging behavior

Competent use of the “Teaching Pyramid” framework and intervention strategies over time and across staff

Improved social and emotional competence, behavior & relationships among children, their families & other caregivers

TACSEI and the TA Center for State Implementation and Scaling Up of Evidence-Based Practices

How?

TACSEI Logic Model for Implementation & Sustainability

Population of Concern Intervention

Strategies

Intervention

Outcomes

Children Birth through 5 with or at risk for delays or disabilities including children with challenging behavior

Competent use of the “Teaching Pyramid” framework and intervention strategies over time and across staff

Improved social and emotional competence, behavior & relationships among children, their families & other caregivers

Populations of Concern Implementation & Sustainability Strategies

Implementation & Sustainability Outcomes

Adults: Caregivers, early childhood service providers, family members, early interventionists, child care staff, preschool teachers

Science-Based Strategies:

Skill-based Training

Competent Coaching and Support

Collection and use of fidelity and outcome data

Development of facilitative administrative practices and policies within the organization to support implementation

Competent use of the Teaching Pyramid framework and intervention strategies over time and across staff.

TACSEI and the TA Center for State Implementation and Scaling Up of Evidence-Based Practices

TACSEI Logic Model for Implementation & Sustainability

Population of Concern Intervention Strategies Intervention Outcomes

Children Birth through 5 with or at risk for delays or disabilities including children with challenging behavior

Competent use of the “Teaching Pyramid” framework and intervention strategies over time and across staff

Improved social and emotional competence, behavior & relationships among children, their families & other caregivers

Populations of Concern Implementation & Sustainability Strategies

Implementation & Sustainability Outcomes

Adults: Caregivers, early childhood service providers, family members, early interventionists, child care staff, preschool teachers

Science-Based Strategies:

Skill-based Training

Competent Coaching and Support

Collection and use of fidelity and outcome data

Development of facilitative administrative practices and policies within the organization to support implementation

Competent use of the Teaching Pyramid framework and intervention strategies over time and across staff.

TACSEI and the TA Center for State Implementation and Scaling Up of Evidence-Based Practices

TACSEI Logic Model for Implementation and Sustainability

How?

Population of Concern Intervention Strategies Intervention Outcomes

Children Birth through 5 with or at risk for delays or disabilities including children with challenging behavior

Competent use of the “Pyramid Model” framework and intervention strategies over time and across staff

Improved social and emotional competence, behavior & relationships among children, their families & other caregivers

Populations of Concern Implementation & Sustainability Strategies

Implementation & Sustainability Outcomes

Adults: Caregivers, early childhood service providers, family members, early interventionists, child care staff, preschool teachers

Science-Based Strategies Skill-based Training

Competent Coaching

Collection and use of fidelity and outcome measures and data

Development of facilitative administrative practices to support implementation

Competent use of the Pyramid Model framework to problem-solve, plan system change and competently use the intervention strategies over time and across staff

Formal Implementation Teams at State, regional, and agency levels

Collaborative planning, advocacy, and execution to advocate for, install, monitor, and support the use of Science-Based Implementation & Sustainability Strategies focused on the Pyramid Model content

Competent, Sustainable state, regional and agency infrastructure to support the development and use of Science-Based Implementation & Sustainability Strategies

TACSEI Logic Model for Implementation & Sustainability

TACSEI and the TA Center for State Implementation and Scaling Up of Evidence-Based Practices

© Fixsen & Blase, 2008

Benefits to Children

Performance Assessment (Fidelity)

Coaching

Training

Selection

Performance

© Fixsen & Blase, 2008

Benefits to Children

Performance Assessment (Fidelity)

Coaching

Training

Selection

Systems Intervention

Facilitative Administration

Decision Support Data System

Performance Organization

© Fixsen & Blase, 2008

Benefits to Children

Technical

Performance Assessment (Fidelity)

Coaching

Training

Selection

Systems Intervention

Facilitative Administration

Decision Support Data System

Performance Organization

Leadership

Adaptive

© Fixsen & Blase, 2008

Benefits to Children

Technical

Integrated & Compensatory

Performance Assessment (Fidelity)

Coaching

Training

Selection

Systems Intervention

Facilitative Administration

Decision Support Data System

Performance Organization

Leadership

Adaptive

Integrated and CompensatoryIntegrated and Compensatory

Integrated

Consistency in philosophy, goals, knowledge and skills across these processes (S/T/C/E/A/SI)

Compensatory

At the Practitioner Level

At the Program Level

What’s Next? – You Tell UsWhat’s Next? – You Tell Us

More detail on Implementation Strategies

Who does the Work and HowImplementation Teams Roles and KnowledgeCollaborative Teaming Strategies

Improvement CyclesPractice ImprovementProblem-SolvingPolicy Feedback LoopsTransformation Zones

Adaptive and Technical Leadership

Next StepsNext Steps

Next Webinar on topic: May 21, 2009; 1:00-2:30 ET

Watch for registration information for that webinar

Tell us what you think about this seminar and the items on previous slide or anything else.