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) 2 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 3 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. 4 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) 5 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 6 Interpreting the Individual CANS Report: Strengths 7 Interpreting the Individual CANS Report: Needs 8 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 9 National Quality Summit Interpreting the Individual CANS Report: TIPS 10 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 11 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 12 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 13 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 14 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) 15 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 16 Q&A Thank you for your commitment to outcomes informed care!
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