Colorado’S Protocol

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Overview of the Protocol to Improve Services to Families involved with Substance Abuse, Child Welfare and the Family Court System.

Colorado’s Protocol

Improving Services to Families
Involved with Substance Abuse,
Child Welfare and the
Dependency Court

3 Main Sections
Background Information
Protocol
Appendices

Background Information
Background information on systems
involved
Policy context
Context of direct practice
Current “hot” issues

Protocol

3 Sections
– Initial screening
– In-depth assessment
– Ongoing case monitoring and case closure

Divided along same categories used in
NCSACW SAFERR document

Protocol
Community guiding principles
Community standards
Suggestions for each system to facilitate
work with other systems
– Child Welfare
– Substance Abuse Treatment
– Dependency Court

Some Highlights
Screening for substance abuse in all child
welfare cases
Interdisciplinary case staffings at
beginning of case

Some Highlights
New licensing category for substance
abuse treatment providers
Screening for child safety in substance
abuse treatment
Screening for FAS/FASD in children done
by both systems

Some highlights
Training on cross-
disciplinary
collaboration
Court personnel
routinely ask about
substance abuse
screenings and
progress in treatment

Some Highlights
Treatment plans
routinely shared
across systems
and with the Court
Knowledge of
services available
in each system

Appendices
Helpful reference
information
Often from other
sources
Incomplete in
spots
We need your
feedback!!!

What are you doing already?
Screening for substance abuse
Interdisciplinary case staffings
Work in interdisciplinary teams
Co-located substance abuse staff in child
welfare agencies
Use of addiction and recovery principles in
court process

What are some ways you
might use this information?

What are some barriers in
your counties/jurisdictions to
implementing this protocol?

Feedback:
What is useful?
Which parts of the document don’t you
use?

Feedback:
How many pages did
you actually read?
What needs to be
changed?

Feedback:

What did you read
and think “We’ll do
that!”
What did you read
and think “No way…!”

Please let us know what you think!
Your Core Team:
Carol.Wahlgren@state.co.us
Claudia.Zundel@state.co.us
Karen.Mooney@state.co.us

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Case Study, Stage 2: Data Flow Among Health Care Systems Before you begin this assignment, be sure you have read the “UMUC Family Clinic Case Study”, the course readings assigned to date, and feedback on your graded Stage 1 assignment. Purpose of this Assignment This assignment specifically addresses the following course outcomes to enable you to: · Analyze the flow of data and information among disparate health information systems to support internal and external business processes · Examine the implications of ethical, legal, and regulatory policy issues on health care information systems UMUC Family Clinic Medical Practice In your Stage 1 assignment, you created process models for the patient visit process in the UMUC Family Clinic. For the Stage 3 assignment, you will identify an Electronic Health Records System that will address the process problems at the Clinic. The EHR system you identify will initially be implemented at the UMUC Family Clinic, but will soon need to be able to connect and communicate with external systems. As part of analyzing the requirements for the new system, one step is to consider how that system will enable the UMUC Family Clinic to exchange electronic data with other health organizations – such as other providers, pharmacies, insurance companies, and even patients themselves. The case study mentions several of these. For this assignment you will select two types of external organizations and describe what kind of data would flow between the UMUC Family Clinic and those organizations and how that can be done effectively. Assignment 1. Review the UMUC Family Clinic Case Study and identify two types of external organizations (e.g., hospitals, nursing homes, rehabilitation centers, laboratories, pharmacies, etc.) with which the UMUC Family Clinic needs to communicate and the purpose of the communication. 2. Make a list of at least five data elements or items of information that would be shared with each external organization, and explain whether that information is going out from the UMUC Family Clinic or coming in from each of the two external organizations. Note: More than five data elements are required to earn full points. 3. Conduct some external research and find at least one data interchange standard that would apply to the data that is exchanged with each organization. Provide a brief description of what the standard is, what it requires, and why it is important. (There are some specific data interchange standards that apply to health data exchange; if the same standard applies to the data exchange with both organizations, explain how it relates to each.) 4. Research, list and discuss three legal, regulatory, or ethical considerations that would relate to this data exchange and explain what needs to be done to ensure compliance with each. You must include at least one legal/regulatory consideration and at least one ethical consideration. Formatting For academic writing, the writer is expec ...

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Read the following information and understand the content, as you are going to be required to apply this information to three different passages: Paul-Elder Critical Thinking Framework Critical thinking is that mode of thinking – about any subject, content, or problem — in which the thinker improves the quality of his or her thinking by skillfully taking charge of the structures inherent in thinking and imposing intellectual standards upon them. (Paul and Elder, 2001). The Paul-Elder framework has three components; two of which we will cover this semester: The elements of thought (Links to an external site.)Links to an external site. The intellectual standards (Links to an external site.)Links to an external site. According to Paul and Elder (1997), there are two essential dimensions of thinking that students need to master in order to learn how to upgrade their thinking. They need to be able to identify the "parts" of their thinking, and they need to be able to assess their use of these parts of thinking. Elements of Thought (reasoning) The "parts" or elements of thinking are as follows: All reasoning has a purpose All reasoning is an attempt to figure something out, to settle some question, to solve some problem All reasoning is based on assumptions All reasoning is done from some point of view All reasoning is based on data, information and evidence All reasoning is expressed through, and shaped by, concepts and ideas All reasoning contains inferences or interpretations by which we draw conclusions and give meaning to data All reasoning leads somewhere or has implications and consequences Universal Intellectual Standards The intellectual standards applied to these elements are used to determine the quality of reasoning. Good critical thinking requires having a command of these standards. According to Paul and Elder (1997 ,2006), the ultimate goal is for the standards of reasoning to become infused in all thinking so as to become the guide to better and better reasoning. The intellectual standards include: Clarity Could you elaborate? Could you illustrate what you mean? Could you give me an example? Accuracy How could we check on that? How could we find out if that is true? How could we verify or test that? Precision Could you be more specific? Could you give me more details? Could you be more exact? Relevance How does that relate to the problem? How does that bear on the question? How does that help us with the issue? Depth What factors make this difficult? What are some of the complexities of this question? What are some of the difficulties we need to deal with? Breadth Do we need to look at this from another perspective? Do we need to consider another point of view? Do we need to look at this in other ways? Logic Does all of this make sense together? Does your first paragraph fit in with your last one? Does what you say follow from the evidence? Significance Is this the most important problem to con.

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Colorado’S Protocol

1. Colorado’s Protocol Improving Services to Families Involved with Substance Abuse, Child Welfare and the Dependency Court

2. 3 Main Sections Background Information Protocol Appendices

3. Background Information Background information on systems involved Policy context Context of direct practice Current “hot” issues

4. Protocol 3 Sections – Initial screening – In-depth assessment – Ongoing case monitoring and case closure Divided along same categories used in NCSACW SAFERR document

5. Protocol Community guiding principles Community standards Suggestions for each system to facilitate work with other systems – Child Welfare – Substance Abuse Treatment – Dependency Court

6. Some Highlights Screening for substance abuse in all child welfare cases Interdisciplinary case staffings at beginning of case

7. Some Highlights New licensing category for substance abuse treatment providers Screening for child safety in substance abuse treatment Screening for FAS/FASD in children done by both systems

8. Some highlights Training on cross- disciplinary collaboration Court personnel routinely ask about substance abuse screenings and progress in treatment

9. Some Highlights Treatment plans routinely shared across systems and with the Court Knowledge of services available in each system

10. Appendices Helpful reference information Often from other sources Incomplete in spots We need your feedback!!!

11. What are you doing already? Screening for substance abuse Interdisciplinary case staffings Work in interdisciplinary teams Co-located substance abuse staff in child welfare agencies Use of addiction and recovery principles in court process

12. What else?

13. What are some ways you might use this information?

14. What are some barriers in your counties/jurisdictions to implementing this protocol?

15. We want to hear from YOU!

16. Feedback: What is useful? Which parts of the document don’t you use?

17. Feedback: How many pages did you actually read? What needs to be changed?

18. Feedback: What did you read and think “We’ll do that!” What did you read and think “No way…!”

19. Please let us know what you think! Your Core Team: Carol.Wahlgren@state.co.us Claudia.Zundel@state.co.us Karen.Mooney@state.co.us

Colorado’S Protocol

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