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 - Oregon.gov
Oregon System of Care
   Advisory Council

    Preliminary Findings
   and Recommendations
       August 2021

                           Artemis Consulting & Bailey Associates
Oregon System of Care Advisory Council - Preliminary Findings and Recommendations - Oregon.gov
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
Oregon System of Care Advisory Council - Preliminary Findings and Recommendations - Oregon.gov
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
Oregon System of Care Advisory Council - Preliminary Findings and Recommendations - Oregon.gov
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
Oregon System of Care Advisory Council - Preliminary Findings and Recommendations - Oregon.gov
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
Oregon System of Care Advisory Council - Preliminary Findings and Recommendations - Oregon.gov
Results fall into
three categories
  Structure
    Process
      Equity
Oregon System of Care Advisory Council - Preliminary Findings and Recommendations - Oregon.gov
Structure
Issues and Recommendations
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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