Oregon System of Care Advisory Council - Preliminary Findings and Recommendations - Oregon.gov
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Oregon System of Care Advisory Council Preliminary Findings and Recommendations August 2021 Artemis Consulting & Bailey Associates
Methods and Process + Authorized by Governor’s Office + Initial meeting with Council Chair and staff + Conducted key informant interviews: rural and urban, young adults, youth and family members/significant adults, public system representatives (state, county, city), community-based providers, health professionals + 100% of SOCAC membership interviewed + 72% of SOCAC completed online demographic survey I'd rather regret the risks that didn't work out than the chances I didn't take at all. -Simone Biles
SOCAC Accomplishments + Stood up and organized during a pandemic + Recognition of and gratitude for leadership’s consistency + Data dashboard is well underway + Efforts have been made to include youth and family voice + Legislative efforts to address infrastructure needs + Functioning subcommittees You gain strength, courage, and confidence by every experience in which you really stop to look fear in the face. You must do the thing which you think you cannot do. — Eleanor Roosevelt
Commonly Held Beliefs Include… + There is a consistent level of pride in what has been accomplished and clear understanding of how far there is to go + Council members are committed to achieving strong and positive youth outcomes through improved service delivery + Youth and family are named as the most important partners in the Council’s work + There is agreement on what is limiting the Council’s progress + At one time or another, almost everyone has felt both empowered and powerless; consistent calls for equity Every time you are tempted to react in the same old way, ask if you want to be a prisoner of the past or a pioneer of the future. — Deepak Chopra
Youth/Young Adults Gender/Sexual Orientation Government Guidelines Class/Caste State Agencies: Systems Power Imbalances are Experienced Across the Board Providers of Services Education/Degrees Racial/Ethnic Tribal/Sovereign Groups Governments Adults/Workers/Ad ministrators
S1 Recommendation System of Care Model • Build consensus on and commit to a single working definition of System of Care Lack of consensus on with structures and processes S(s)ystem of C(c)are model. that centers equity, is transformational, and builds on the wisdom of youth and families
S2 Recommendation Reporting Structure Unclear for the Council, • Establish clear lines of potentially creating communication, reporting and accountability for ED, constraints, difficulties and Council staff, members, and conflicts for the community participation Executive Director. • Have the ED report directly to the Governor’s Office for 6-9 months
Recommendation S3 • Change the composition of the Membership Council to include youth and families as decision makers Reflects interests that sometimes lie in keeping • Listen deeply to sovereign entities, current systems and practices people of color, and other historically marginalized groups; Include intact without enough multiple sovereign nations engagement and participation of youth and families, local • Consider a young adult as Council councils and other affected Co-chair groups. • Council members must commit to full participation and, the scope of that participation must be clearly spelled out
S4 Recommendation Council Meetings Meetings are not as inclusive, • Change meeting structure or productive as they and times to accommodate youth and families could/should be to sustain full participation and engagement. • Include those most disproportionately affected by systems in shaping the Council’s agenda, decisions, and actions
Recommendation S5 Data • Agree on and operationalize language and definitions Data is complex, inaccessible, not consistent across systems, • Simplify and make data and not used to drive available to the public decisions. • Act on disproportionality, outcome disparities, social determinants of wellbeing and other issues of equity
Process Issues and Recommendations
Recommendation P1 Strategic Planning • Pause the current strategic planning undertaking until the Process Executive Director has been hired, and then reboot an The process seems to be inclusive and deliberate pointed towards planning process meeting a deliverable rather than constructed as a • Use the strategic planning meaningful roadmap for the process itself to sort out Council Council’s work. structures, processes and equity going forward
P2 Recommendation Local Councils Local councils have minimal • Make useful, responsive, and access to the SOCAC; issues sincere connections with Local brought to the SOCAC are not Systems of Care that co-create concrete outcomes, demonstrate resolved; there is no collaborative actions, and are coordination with local visible to individual councils; and there are no communities and the state feedback loops.
P3 Recommendation Trust/Trustworthines s • Commit to a decision-making process that ensures ample time Trust/trustworthiness is not for full discussion, feedback universally experienced nor among system and community demonstrated among Council partners, and is visible members. • Learn and practice authentic dialogue toward consensus and resolution
P4 Recommendation Grants/Funding • Commit to making no ‘outside of the room deals’ on grant making, A lack of clarity exists about program/staff funding or other how funds have been and will fiscal decisions be distributed. • Be transparent about potential conflicts of interest
Equity Issues and Recommendations
E1 Recommendation Disproportionality and Disparities • Educate the Council on indigenous sovereignty, Youth and families of color and historical trauma, and systemic oppression and how these shape sovereign nations continue to human service systems be disproportionately represented in Oregon’s child serving systems. • Create systemic measures of equity accountability and tie to funding
Recommendation E2 Marginalization •Balance the Council’s power along age, race, tribal, gender/sexual orientation, lived experience Full participation of members has been stunted. •Require robust onboarding of all Council members including recurring training and dialogue on how to share power, collective decision-making, using conflict for change, courageous conversations, implicit and systemic bias, and youth inclusivity
E3 Recommendation Diversity of Thought and •Make space for young adults to lead Innovation •Create pathways to allow for The Council is trying to diversity of thought and cutting answer the same old edge/innovative ideas and questions and using the practices same old tools.
Recommendation E4 Trauma Informed •Incorporate Trauma Informed Practices into all Practice Council recommendations, policies, internal practices, It does not appear that the strategic planning, and Council follows trauma partnership development informed practices. ❖Trauma Informed includes Historical and Environmental Trauma ❖Restorative /Transformative Justice/Healing
E5 Recommendation ACT! • Identify at least one significant Actions have not been taken issue that can be worked through a multi-layered, multi- after bringing family and system approach with shared youth to the table and funding, data collection and listening to stories that have analysis, outcomes, been repeated for accountability and learning years/decades. alongside youth and family partners and local councils
Next Step September SOCAC Meeting Facilitated Small Group Process ✓ Clarify: Intent of Recommendations ✓ Prioritize: Recommendations Within Structure, Process, Equity ✓ Identify: Action Items: 2-3 Next Steps
I have learned over the years that when one's mind is made up, this diminishes fear; knowing what must be done does away with fear. -Rosa Parks
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