What does it mean to determine action levels for "the person, not the person in care"?
Question 1: I'm confused about how to determine action level ratings for my 11 year old child client on their annual CANS. They just returned from spending the summer at a therapeutic outdoor camp for kids with special needs. It was a perfect setting for them and they seem to be doing so well! Do I select action levels based on how they are now or how they were doing the last time I saw them before the summer break?
Answer 1: This is a great example of services for a client potentially masking their needs. The following video from the Praed Foundation provides an excellent explanation of the principle of determining action levels for a person separate from the care that they have been receiving:
It's About the Person, Not the Person in Care | TCOM Heuristics - YouTube
Two Caregivers?! A simple solution for determining action levels for caregivers with different needs
Question 2: What happens if I need to select an action level for two Caregivers in the CANS and they're both in different places?
Answer 2: Action level ratings for multiple caregivers should reflect the level of action that is needed within the entire caregiver system. That means that if one caregiver has no mental health needs, but another caregiver has actionable mental health needs (let's say a '2'), you will indicate the highest level of need among them and mark a '2' for Caregiver Mental Health. This demonstrates that there is action needed to support the mental health of at least one caregiver in the family system.
5 Reasons to take a Live Zoom Certification Class
Question 3: What are the pros and cons of taking the Live Certification course versus taking the online Alameda 0-24 course?
Answer 3: There are some perks to taking an online-only certification course, such as being able to self-pace or customizing the focus areas for your learning needs. But before you jump into those 67 steps, here are 5 reasons we think a Live Certification course is superior:
Our trainers are skilled at troubleshooting most access issues that trouble new users in Alameda County. If you are having any difficulty accessing or navigating the tcomtraining.com website, join the next live training or an Office Hours session for some live technical assistance.
Did you know that the CANS is NOT a questionnaire? It is just a clever framework to organize the often complex stories of our clients' lives, using a simple shared language tool so families and team members are all on the same page and working together. Check out our quick CANS Tips to Engage Youth, Young Adults, and Families including key questions to ask that align with the CANS domains and can start the conversation with the families about the CANS. The CANS is about building relationships and trust, so be collaborative and transparent with clients and the CANS can help you make sure their voice is front and center!
Have you explored the Alameda TCOM Collaborative website? We have been updating it regularly to make it more useful for you!
You can access resources by the following categories:
Here is an example of a tool for understanding the full trajectory of CANS use:
You can also contact us via the site with questions or feedback!
In a world where success is defined by innovation, adaptability, and resilience, the power to truly support your clients lies within your grasp. Today, we bring you an exciting newsflash that will inspire and empower you to reach new heights: TCOM tools, the key to being a great therapist!
Imagine a toolbox filled with cutting-edge resources and strategies designed to propel you and your clients towards their goals. CANS and ANSA offer a framework that will revolutionize how you approach clients, enabling you and your clients to work collaboratively towards goals in effective ways you never imagined.
Let's take a closer look at some of the incredible features TCOM tools have to offer:
1️⃣ Client-Centered: TCOM tools equip you with an innovative framework to keep the client's voice front and center and help you to help your clients build on their strengths and reduce their needs.
2️⃣ Communication Excellence: Unlock the power of effective communication. TCOM tools provide you with the framework for your care team members to articulate ideas, and build strong connections that will propel your clients forward in their lives.
3️⃣ Optimal Performance: Maximize your productivity and performance with TCOM tools. From goal-setting strategies to collaborative techniques, you'll be more effective in your work and improve the health and well-being of clients in less time.
4️⃣ Growth Mindset: Embrace a growth mindset that fuels continuous learning and personal development. TCOM tools guide you in building a growth mindset with your clients, helping them take steps towards success, and moving them towards their true potential.
💫 With the CANS or ANSA, the possibilities are limitless. Empower your clients to break through barriers, exceed expectations, and embark on a journey of personal transformation.
🌟 Remember, you have the power within you to achieve anything you set your mind to. Seize this opportunity, embrace the tools, and become the architect of your destiny!
🌈 Potential awaits—unlock it with the CANS or ANSA today! 🚀
We have scheduled our next FREE Virtual CANS/ANSA Training of Trainers! This 2-day training will take place on Tuesday, May 23rd and Wednesday, May 24th from 9am-4pm. Continuing Education hours will be available for eligible attendees.
This training workshop is designed for individuals who wish to provide training as well as coaching on the CANS/ANSA to staff within their own organizations or communities. Key concepts and skills will be practiced through small group discussions, exercises, and activities. Standard curriculum and other materials used during the workshop will be provided to support their work in helping trainees become certified in the use of the CANS/ANSA. Certified Trainers are required to re-certify annually to maintain their trainer status. Certified Trainer re-certification requires initial and annual CANS/ANSA certification with a score of .80 or above. Join our growing team of Alameda County CANS and ANSA Trainers advancing county-wide transformation.
This training will be posted on our training calendar soon but in the meantime, feel free to reach out to our Alameda County Behavioral Health CANS Lead, Jessica Vigil, if you are interested in becoming a Certified CANS/ANSA Trainer.
Question 1 (CANS/ANSA Support):
I’m a supervisor supporting staff who utilizes the CANS and ANSA tools. Is there someone we can contact when we have CANS/ANSA questions?
Answer 1: Yes! All Alameda County providers are welcome to bring questions to CANS/ANSA Office Hours. The Alameda TCOM Collaborative, consisting of Community Based Organization (CBO) and Alameda County Behavioral Health staff, hosts office hour sessions where providers, supervisors, and managers can drop in for questions. All CANS/ANSA questions are welcome! See the latest flyer for more information on schedule and registration.
The Alameda TCOM Collaborative also provides consulting/coaching services. Feel free to reach out to find out if your organization already has an assigned coach or inquire about free consulting services. Coaches can answer specific CANS/ANSA questions, help to assess needs, and share training offerings on specific CANS/ANSA topics (e.g. certification, engagement, data & reporting).
For more technical CANS/ANSA account or certification related questions, feel free to contact TCOM Support: email@example.com.
Question 2 (Tips for Transferring Certifications):
Is there an easier way to help individual providers who are having difficulty transferring their certification in Praed? It would be great to have a tip sheet to help navigate the workflow.
Answer 2: Great idea! In response to your question, we created a tool!
Question 3 (Strengths & Needs Action Levels):
It can be challenging to explain to staff I supervise or clients/caregivers I work with the difference between strengths and needs action levels. Do you have any tools or visuals?
Answer 3: Yes! In response to your question, we updated the tool: CANS Needs & Strengths Iceberg. It provides a visual that we’ve found helpful when explaining the different action levels for strengths and needs. It uses the iceberg visual to show that 2s and 3s often need attention of some type, as both indicate a significant need or a lack of strength in a particular area.
Question 4 (Objective Arts Support):
I have so many Objective Arts (OA) questions! Can you please share any resources you have?
Answer 4: Yes! Per Jessica Vigil, Alameda County Behavioral Health, Objective Arts (OA) users can find more information/resources on the Alameda County Behavioral Health Care Services (BHCS) Provider Website: BHCS Providers Website (acbhcs.org).
Click on the CANS/ANSA tab and select Objective Arts (OA) Resources. You can find the OA Training Manual, how to edit profiles, OA video links, and CSV Upload formats (for agencies that want to become an uploading agency).
Additionally, see some common questions and answers below:
It is exciting when you hire new staff who have prior experience with the CANS! But then you have the task of figuring out whether their certification can transfer to your organization or not. This task doesn't have to be daunting any more because you can use our new tip sheet to help your administrators find and troubleshoot issues with finding and transferring certifications for your new staff. Click on the button below to check it out!
Do you have a question that keeps coming up about the CANS or ANSA and need help? The collaborative has virtual office hours just for you! We've got a TCOM super-team ready to answer any and all questions about the TCOM tools. Past participants recommend it! Megan from UCSF Benioff Children’s Hospital Oakland stated "So very thankful for office hours - the synergy and safe space for honest sharing about use of CANS is refreshing and educational too!" Check out our next set of office hours! You don't even have to register and can instead just use the zoom link in the flyer to join.
How does CANS work with the new CalAIM reforms? If you've been wondering how they fit together, check out this helpful tip sheet that will help you understand more about the intersection of the CANS and CalAIM including information about: Domains, Treatment/Care Planning, Care Coordination, and Problem Lists. Knowing how these all work together will help you work more efficiently.
Want to learn how to use data to better understand transformation? “Connecting the Dots: The Making of Meaningful Metrics” is a live video podcast series that can help.
"Mr. Mark Lardner, LCSW-C, the Senior Policy Analyst at the Center for Innovation in Population Health (IPH) at the University of Kentucky, is interested in hearing stories from people currently working to connect the dots in our helping systems; using their data to seamlessly move from the delivery of person-centered care based on individual aspirations to transformational system level outcomes.
This live video podcast will be an in-depth, and broadly accessible, exploration of innovative approaches for translating assessment data into meaningful metrics across the helping professions.
Each month a different guest will share their insights on how to use data to better understand the transformational process through the use of aggregated data. These interactive episodes will air the second Tuesday of each month and be archived with helpful resources on our IPH Center live website. We hope you will join us on this journey to uncover how applied person-centered data is moving us closer to transformational systems that work for all people."
To view the first two episodes, click on the buttons below!