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Integrating Lotería and the CANS: A Creative Approach to Understanding Strengths and Needs

3/25/2025

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​As we step into spring, a season of growth and renewal, we are excited to introduce a new series for the Alameda TCOM Collaborative that combines cultural creativity with practical tools: Lotería and the CANS. Through this series, we’ll explore how Lotería, the beloved Mexican game of chance, can serve as a metaphorical and visual framework to deepen our understanding of CANS items and enhance our practice.

Lotería, 
Spanish for "lottery" and often compared to bingo, features a deck of beautifully illustrated cards, each symbolizing unique objects, people, or themes. These cards tell a story, inviting reflection and connection. In this series, we’ll use Lotería cards as jumping-off points to explore specific CANS items or domains, focusing on strengths, needs, and the ways we can support children, youth, and families.
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For this first post, we chose El Árbol (The Tree) to represent family strengths, an essential item in the CANS. Just as a tree thrives with strong roots, families often serve as the foundation for growth and resilience. The CANS assessment invites us to look at family strengths through a strength-based lens, highlighting areas of connection, support, and nurturing.

Using El Árbol (The Tree) as a Tool

El Árbol (The Tree) provides a vivid and versatiles metaphor for discussing family strengths in collaborative meetings. Imagine starting a session by sharing an image of the card and asking: 
  • Who are the people in your life that make up your family?
  • Who do family members consider to be a support?
  • What are the relationships between family members?
  • What helps your family grow and remain healthy? 
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These questions can spark rich dialogue, connecting the visual symbolism of El Árbol (The Tree) with the practical application of identifying and building on family strengths during the CANS assessment process. 

Applying the Concept in Practice

In a CANS session, El Árbol (The Tree) can also help individuals shift their focus toward identifying hidden strengths within families. For example, a family may appear to be struggling with communication, but deeper observation may reveal “roots” of resilience – strong traditions, cultural values, or a shared desire to improve relationships. Acknowledging these strengths allows us to cultivate them further, much like nurturing a tree.

Looking Ahead

​The series will explore more Lotería cards and their connection to CANS items. Whether it’s La Campana (The Bell) and its connection to school-related items or El Sol (The Sun) and its focus on individual strengths, these posts will provide creative ways to approach the CANS while honoring the cultural richness of Lotería.
Stay tuned for our next post, where we’ll continue to blend culture, creativity, and practical application. In the meantime, consider how you might use Lotería or other culturally meaningful frameworks in your work with families. We would love to hear from you about your experiences and other games that can be beneficial to include in our work with the CANS.

Let’s grow together this spring – one card and one strength at a time!
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What’s New with the CANS Across the Bay?

3/25/2025

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Check out the SF BHS CYF T.I.P.s CANS page for tons of CANS resources out of San Francisco!

San Francisco rolled out One CANS per Youth, which is a shared CANS concept. See their CANS Practice Guidelines and Use in Epic resource for  more information.
Their site includes CANS tools, engagement resources, CalAIM-informed care planning strategies, and data reflection guides. They also link to other helpful sites including our very own https://www.alamedatcom.org
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SF CANS RESOURCES HERE!
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Dear Collaborative: Frequently Asked Questions (FAQs)

3/25/2025

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Question 1:
I work with kids, and it's really hard to get many of my clients' parents to spend time with me and answer all these CANS questions; I'm not sure how to get the CANS done. Any advice? 

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​We totally understand that the CANS can be intimidating, especially if you feel like you need to ask about every item. Luckily, CANS isn't meant to be a questionnaire but a framework to organize the information you get from organic conversations with clients, parents, teachers, case managers and others who interact with and know the client. So go ahead and use your engagement skills to have conversations about how life is going, what concerns them, what's going well and where they think they need help or want change. Keep the CANS items in mind while you're talking, and then use the CANS framework to organize what you learned. It's OK if you don't know about every item at first; you'll likely know more when you come back to do an updated CANS after you get to know people better.

Question 2:
I work in more than one county and don't understand why the CANS has different versions-why?

​CANS is a flexible tool that allows jurisdictions to choose the items they feel are most relevant to the folks who live in that area. California has a core set of items used across the state and each county can choose additional items to create a version that fits them best. This customization prevents everyone from having to use extra items that might not be prevalent in some areas but are really important in other regions while also allowing the State to gather data sets on the core items statewide. This can help with funding and service decisions in a really important way!

Question 3:
I don't like rating people-it feels bad; why does CANS force us to rate people?

​Oh no, we definitely don't want to rate people, but we do want to use CANS to rate where we need to act to support clients with needs and help them build strengths. We want to identify action plans so clients get what they need and so we rate for action. This way, we create a road map for ourselves to implement interventions and for clients to be the architects of their own change by collaboratively identifying their strengths and needs. 
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How Can We Make the Newsflash Better for You?

3/25/2025

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FEEDBACK HERE!

When you win (through meaningful use of the CANS), we all win (with increased transparency, collaboration, and transformational change)!

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​Part of our mission as the Alameda TCOM Collaborative is to bring CANS information, resources, and training to the Alameda provider community. We’d love to hear more about what YOU want so we can meet your needs and prioritize information that’s meaningful to you and your practice. Our hope is that the CANS can be a useful tool for you and the youth, families, and teams that you partner with to reach consensus around action, work toward common goals, and celebrate progress. 

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Thank you in advance for sharing your feedback with us!
​We appreciate it. 
FEEDBACK HERE!
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  • About
    • About TCOM & CANS
    • Collaborative Members
    • Contact
  • Tools
    • Manuals & Scoresheets
    • Engagement Guides
    • Assessment Tools
    • Trauma Assessment
    • Care Planning
    • Lotería and the CANS
    • One CANS Per Youth
    • CANS and Tiered Rate Structure
    • Objective Arts (OA) Resources
  • Clinical Management
    • Supervision
  • Training
    • Training Calendar
    • Certification
    • National
  • Consulting
    • Office Hours
  • News
  • Hablemos TCOM
  • Alameda CANS B-24 Resources
  • CDSS IP-CANS Resources