Using National Implementation Research Network (NIRN) to define the implementation of appropriate response.

1. Appropriate Response
Implementation
Using National Implementation
Research Network (NIRN) to Define
the Implementation of AR

2. AR Implementation
• 71% of reports are Neglect.
• Many unfounded reports needed services but
did not rise to level of DSS intervention
• Communities have varied services
• Communities do not offer a structured case
management system to connect and support
families in need.
• Communities have gaps in service.

3. AR Implementation
• All information is from the National
Implementation Research Network
• System changes are:
– Professional attitudes and behavior
– Organizational structure
– Stakeholder relationships

4. AR Implementation
• Implementation Drivers are:
– Leadership
– Competency
– Organizational
– Today we will focus on Organizational Drivers

5. AR Implementation
• Organizational Drivers
• System Interventions-Multilevel alignment, maintaining
communication at all levels
– Internal and External collaboration/coordination
– Perspectives of internal and external stakeholders
– Internal and external stakeholders understand their role in
change
• Facilitative Administrative- Reduce barriers, culture that is
focused on what it takes to implement with fidelity
– Organizational structure is aligned to support model
– Policies and procedures are developed to support model
– Feedback loops are defined and used.

6. AR Implementation
• Data Decision Systems- Data collection and reporting
– Organization has automated data collection and
reporting system
– Practice documentation requirements are
integrated into data system
– Fidelity data are distributed via feedback loops

7. 2010-11 CPS Intake Decisions
NOA, 36.6
Investigated, 63.
3
Indication Rate: 38.5%

8. Regional CPS Intake Decisions 2012
• May 2012 • October 2012
NOA, 15.4%
NOA, 21%
CWS, 33.4%
CWS, 38%
FSS, 25.6%
FSS, 20%
VCM, 25.4%
VCM, 21%
Indication Rate 45.8%

9. AR Implementation
Greenville, Spartanburg, Anderson began
January 17, 2012.
Greenville accepted 2065 cases in 2011
Greenville accepted 2096 cases in 2012
CPS 36% VCM 26% FSS 24% I&R 13%