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Performance Outcomes According to the Praed Foundation, the Child and Adolescent Needs and Strengths (CANS) is a multi-purpose tool developed for children’s services to: 1. Support decision-making, including level of care and service planning. 2. Facilitate quality improvement initiatives. 3. Allow for the monitoring of outcomes of services. Nexus has been using the CANS as the primary clinical tool for a few years now. Some sites have been using it longer than others, but as of July 2018, every site now uses this assessment tool in nearly every program. There have been a few updates on the CANS in the Cornerstone, so instead of repeating the basics here, if you want to learn more about the CANS tool itself, please visit this site for a great overview: https://praedfoundation. org/tools/the-child-and-adolescent-needs-and-strengths-cans/ We want to take this opportunity to share what Nexus has accomplished through our use of the CANS. 9 | NOV/DEC 2018 The Golden Thread Weaving CANS into all Programming • Rolling out the initiative in 2014, to include providing training, support, and technical capabilities across all Nexus sites. Over 1,000 staff have been trained in the CANS. • Housing the CANS system on the Nexus Database to provide consistent support and monitoring for all sites. • Implementing a rigorous training protocol that provides a high-fidelity structure to all users approved and supported in collaboration with Chapin Hall and the Praed Foundation. After all initial rounds of training were completed, Nexus worked with Praed to develop a hybrid online training platform, consistent with the Nexus Practice Principles. • Collaborating with Chapin Hall to organize and provide consistent, large-team training sessions called “Learning Collaboratives” that have provided the next level of advancement for clinicians, supervisors, and others promoting Nexus’ use of the CANS. • Using Nexus CANS results to inform case needs and progress on individual youth being served. These results are being used to inform clinical teams and family treatment collaborative meetings using consistent and family-friendly language. CANS results are also informing Nexus in general about the types of youth and families we serve, the effectiveness of interventions, and the outcomes of treatment. Joy Wilde Director of Performance Outcomes Bill Kerzman Director of Quality & Community Services


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