How to Access and Interpret a CANS Assessment Report & CANS

How to Access and Interpret a CANS Assessment
Report & CANS Question and Answer
Barbara Dunn, LCSW, ACSW
Director, Program Innovation and Outcomes
March 19, 2015
Getting Started with the CANS
Disseminate Resources (see following slides)
Consider a Trainer role in the agencies
– Attend the webinars
– Keep an active account
– Ongoing involvement in CANS use in agency on some level
– More than one staff identified (due to turnover, vacation, etc)
Webinars
– Access to the CANS
– Interpretation of the CANS
– How to Use the CANS in Treatment Planning (June 22, 2015)
– How to Interpret and Use a CANS Provider Web Report, including the CANS Excel
Data Export (Sept 2015)
– Transformational Collaborative Outcomes Management Model/TCOM (Future)
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Help documents
www.Magellanofpa.com > For Providers > Outcomes
•CANS -MH Training and Certification Link
•CANS-MH Form (for use in meetings)
•CANS-MH Manual
Also in webinar file share pod:
•How to Access the CANS Training and Certification
•Technical Assistance Document (CANS Screens 2015 )
•Frequently Asked Questions (FAQ) CANS MH
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Most common access issues
I need an account but don’t know who to ask
Make sure your staff know who the agency magellanprovider.com
website admin is for your agency.
I need my password reset
FAQ
The CANS button is gray and I cannot enter a CANS
Need to be certified/recertified annually.
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Online CANS Resources: www.MagellanProvider.com
Review resources in Education > Outcomes Library
FAQ For Example: How do I reset my password?
Education > Online Training > Demos of Online Tools (scroll down)
– My Practice > Admin Setup (1:01 mins)
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Interpreting the Individual CANS Report
•Communimetric measurement - based on communication theory, the rating
communicates the same measure at input, thru-put, and output
•Item level needs, strengths, and change scores
•Threshold Score
•SUM scores for Domain and Global score change
•Summary at the bottom for action and act now (2 and 3) scored items
“The CANS was developed from a communication perspective so as to facilitate the
linkage between the assessment process and the design of individualized service
plans including the application of evidence-based practices. The CANS is easy to
learn and is well liked by parents, providers and other partners in the services system
because it is easy to understand and does not necessarily require scoring in order to
be meaningful to an individual child and family. ”
praedfoundation.org
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Interpreting the Individual CANS Report:
Strengths
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Interpreting the Individual CANS Report:
Needs
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Interpreting the Individual CANS Report:
Summary
FOR TREATMENT CONSIDERATION:
(Dimension with a Rating of 2 or 3 (Bold))
Remember that for Strengths
0 = “Centerpiece” and 3 =“not
yet identified”
STRENGTHS
- Interpersonal
- Well-being
- Optimism
- Resiliency
- Resourcefulness
PROBLEM PRESENTATION
- Attention Deficit/Impulse
- Depression/Anxiety
-RISK BEHAVIORS
- Other Self Harm
- Social Behavior
FUNCTIONING
- School Achievement
- School Behavior
CAREGIVER NEEDS & STRENGTHS
- Knowledge
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National Quality Summit
Interpreting the Individual CANS Report: TIPS
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Interpreting the Individual CANS Report: Methods
Severity
Scales
Why Wheels
EBPs
Cross-cutting Needs (San Francisco Model)
Targeted Needs (John Lyons)
Background Needs
Treatment Target Needs
Outcomes
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Interpreting the Individual CANS Report:
SUM Scores and Severity
Youth 1: Janie comes in
Compare severity within a population
Use Domain SUM to target interventions
Out of a possible 72 points
Max Initial = 48
Most Severe >=27
Least Severe <=12
Source: 2012 BHRS Severity Analysis
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with a initial Global
score of 32. This is
more severe than 75%
of cases. You flag this
for review with your
supervisor as a higher
needs case.
Youth 2: Jared has been
in services for 12
months and now has a
Global score of 11. This
is in the lowest 25% of
severity. You consider
with the family if it is
time to plan transition
to outpatient services.
Interpreting the Individual CANS Report: Scales
Family Functioning Scale (0.89) *
Domain
Item
Caregiver
Involvement
Caregiver
Organization
Coping Scale (0.81) *
Resiliency
Resourcefulness
Well-being
Optimism
Caregiver
Resources
Caregiver
Supervision
Caregiver
Knowledge
Caregiver
Safety
Functioning
Family Functioning
Strengths
Family (Strengths)
*1 = perfect correlation/predictor of
positive outcomes
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Interpersonal
Inclusion
Coping significantly predicts
Depression. The lower your
resiliency as measured by Coping,
the higher your Depression. For
each 1 unit change in Coping there
is a one unit change in Depression.
“What, Why and How: Collaborative Treatment Planning”
Jennifer Cardenas, April D. Fernando, and Lisa Hilley
10th Annual CANS Conference Nov 2014
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Recap
Disseminate Resources
Get your staff trained and certified
Let everyone in your agency know your CANS Lead
Consider a Trainer role in your agency
Attend webinars/have staff listen to recordings
Use the CANS
Next Webinar: How to Use the CANS in Treatment Planning (June 22, 2015)
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National Quality Summit
People Resources for the CANS
Provider Services Line 800-788-4005 Monday – Friday 9:00-6:30ET
– To request a user name, reset a password or ask questions about the website, or if
you experience technical difficulty
Network: Scott Pohlmann at SRPohlmann@magellanhealth.com
– To change administrator and ask which MIS# number to use
Clinical: Your Agency CANS Lead
– Manage staff questions related to CANS
– Utilize TA documents at www.MagellanofPA under
For Providers > Outcomes prior to contacting
Magellan for assistance
– Primary contact with Magellan to get questions resolved
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Q&A
Thank you for your commitment to
outcomes informed care!