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Kari Collins, LCSWPolicy AdvisorDepartment for Behavioral Health, Developmental and Intellectual DisabilitiesThe Practicalities of ChangeTransforming SystemsChangeTo make DifferentTo ReplaceTo Alter

To make radically different - TRANSFORMOf, relating to, governed by, or acquired through practice or action, rather than theory, speculation, or ideals2TransformationTransformationsomething more than mere change (Poutiatine, 2011).

radical shift from one state of being to another, so significant it requires a shift of culture, behavior, and mindset . . . (Anderson & Anderson, 2001).

While all transformation is change..Not all change is transformationThree Types of ChangeTraditionalTransitionalTransformationalTransformation as a ProcessAwakeningVisionMethodsLearning, and IntegrationMethod: Implementation Science

Implementation Research: A Synthesis of the LiteratureFixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M. & Wallace, F. (2005)Adapted from Fixsen & Blase, 2008Consumer BenefitsTechnicalIntegrated & CompensatoryParticipant AssessmentCoachingPreparation & TrainingParticipant Recruitment & Selection System Intervention (External Supports)Facilitative Administration (Internal Supports)Data to Support Decision MakingCompetencyOrganizationLeadershipAdaptiveImplementation Drivers FrameworkThe implementation drivers are integrated and compensatory in nature:Drivers should be integrated to ensure consistency and alignment, e.g., the participant evaluation and fidelity assessment should be aligned with what has been taught through training and coaching.Drivers are compensatory in that a weakness in one driver can be compensated by strengths in the remaining drivers, e.g., if training resources are limited, this can be compensated by expending attention and resources on coaching and supervision as well as participant evaluation.

Leading Transformational ChangeLeaders do not need to know all the answers. They do need to ask the right questions. Heifetz, Laurie

A leader needs to possess a sense of urgency and drive to envision and create the future They lead in a direction where the destination is unknown.The challenge for those that travel with such leaders is to trust and support the vision and the journey. Daszko, Sheinberg

The Solution Solutions to transformational challenges reside not solely in the office of formal leadership but in the collective intelligence of persons at all levels, who need to use one another as resources, often across boundaries, and learn their way to those solutions.