Description
Book SynopsisTransformational Collaborative Outcomes Management (TCOM) is a comprehensive, multi-level conceptual framework for system management and improvement. This book provides a comprehensive understanding of TCOM by using person-centered, collaborative processes for decision making.
The issue with current human services systems is that there is a lack of access to care and that the system is focused on providing services as cheaply as possible. TCOM focuses on helping the greatest number of people while maximizing effectiveness.
By fully understanding the nature of the business of helping, the author seeks to offer ways to create and sustain effective and positively evolving helping systems. He lays out a series of goal-directed social change processes which allow people at every level of a system to begin a shift towards transformational practice and the emergence of transformational systems.
Building on three decades of work in a large community of scholars and practitioners, this book will represent the first full description of the conceptual framework and will appeal to an interdisciplinary group of scholars across nonprofit management, healthcare management, and social work.
Table of ContentsTable of Contents
Chapter 1. Understanding the business of personal change The Hierarchy of Offerings Experience Leading to Transformation Understanding where we are in preparation for the journey ahead References Chapter 2. Managing services versus transformations Financial implications Clinical Implications Operational implications References Chapter 3. Helping as a complex system Patient-centered care Complex Adaptive Systems Embracing complexity Managing complexity References Chapter 4. TCOM Core Values, Guiding Principles and Operating Principles Transformational Collaborative Outcomes Management References
Chapter 5. Communimetrics—Measurement in TCOM The problems with psychometric measures Measurement as communication Six key characteristics of a communimetric measure Measurement and mass customization An example: Child and Adolescent Needs and Strengths References Chapter 6. Setting the stage: Establishing and maintaining a TCOM organization Organizational Structure Process and Outcomes Organizational culture and climate Establishing a collaborative organization Organizational decision-making TCOM approach to culture and climate—Safe systems References Chapter 7. TCOM at the individual level Individual level decision-making Access Engagement Selecting Appropriate Interventions Intervention Effectiveness Care Coordination Transitions/Linkages References Chapter 8. TCOM at the program level Aspirational Management Program Decision Point Analysis
Supervision Workforce Development References Chapter 9. Creating and managing systems that care Key Concepts The Original TCOM Project Supply Side Considerations and Logistics Strategies for System Level TCOM References Chapter 10 ‘Doing’ TCOM: strategies, barriers, and opportunities for implementing and sustaining Implementation Science An alternative way of thinking about implementation Implementation of components to the TCOM approach Sustaining the Approach References Chapter 11. Social and political considerations in evolving effective helping systems Tensions Person Level Program Level System Level Syndromes Person Level Program Level System Level References Chapter 12. Developing and managing the field of TCOM
TCOM Management Team Products, Platforms, and Processes Sharing Strategies across the Collaborative References
List of Figures Figure 1.1 the Hierarchy of Offerings from the most complex markets to manage (to the easiest. Source: Praed Foundation, 2021 Figure 1.2 Continuum of Production (Source: Praed Foundation, 2021) Figure 3.1 Bronfenbrenner’s ecological model. Source: Developmental Standards https://intascprinciple2.weebly.com/bronfenbrennerrsquos-ecological-systems-model.html Figure 4.1 TCOM Model of Collaboration. Figure 4.2 Common key decisions points in most helping systems. Figure 4.3 Facilitated collaborative inquiry cycle. Figure 5.1 Clinical outcomes of catastrophizing youth and minimizing parent Figure 5.2 Clinical outcomes of a minimizing youth and a catastrophizing parent. (Source: Praed Foundation, 2020). Figure 5.3 Standard program evaluation approach to clinical outcomes. (Source: Praed Foundation, 2020 Figure 5.4 CANS utilization in the United States in 2022. Figure 6.1 TCOM Model of Collaboration Figure 6.2 Stress work place safety (Source: Cull, 2020) Figure 6.3 Team-Supporting Strategies and Tactics (Source: Praed Foundation, 2020) Figure 6.4 Six Habit for Mindful Organizing and Psychological Safety Source: Cull, 2020) Figure 7.1 Common decision points on the pathway of helping. Figure 7.2 Developing a Theory of change
Figure 7.3 Example of an individual level progress report using the CANS in a TCOM framework. Figure 8.1 Simple outcome report on ‘YES’ program in Idaho as presented on their publicly available dashboard, February 20, 2022. Figure 8.2 Staff caseload example. Figure 8.3 Staff caseload and workload example. Figure 9.1 Simply supply-demand curve (Source: Praed Foundation, 2020) Figure 9.2 Geomapping for child welfare in Chicago. (Source: Praed Foundation, 2014). Figure 9.3 Generic decision models for Care Coordination and Residential Treatment using the CANS. Figure 9.4 Trajectories of change over time in the CANS (Source: Praed Foundation, 2008) Figure 9.5 Details for performed a hinged outcomes trajectory analysis (Source: Praed Foundation, 2008) Figure 9.6 Trajectories of recovery before and after entering different program types. (Source: Praed Foundation, 2008) Figure 10.1. A simple model of the phases of implementation (National Implementation Research Network, 2020). Figure 10.2 Simple graphic of PDSA Cycle from the W. Edwards Deming Institute (2020). Figure 10.3 Implementation cycle from the Australian Institute of Family Studies. Figure 10.4 Gartner’s Hype Cycle for the introduction of new technology Figure 10.5 If you cannot get out of the Trough of Disillusionment it leads to failed implementations in the Valley of Oblivion. Figure 10.6 Continuum of adoption of innovations Figure 10.7 Characteristics of a TCOM Champion Figure 10.8 TCOM Champion roles and responsibilities. (Source: Praed Foundation, 2022) Figure 11.1 Standard marginal utility curve demonstrating reduced utility with increasing units (left) compared to a psychotherapy drop-out curve (right) Figure 11.2 The Four Monkeys (Source: Illustration by Isabelle Bisnaire for the Praed Foundation, 2018) Figure 12.1 Key Tensions for TCOM Leadership Figure 12.2. Blog views by year for the start-up of TCOMConversations.org
Figure 12.3 National Partnership for Child Safety
