Taking ACEs to Scale A Move From Program Thinking to System Change Thinking

Infuse Align Accelerate

Susan Dreyfus President and CEO

Alliance for Children and Families March 2014

A 21st Century Theory of Change

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If we want to enjoy prosperity, we must foster the health and well-being of all people...

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...as leaders, we must articulate a clear and compelling vision, create a culture for innovation and partnership, and practice adaptive leadership skills...

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...we must move from program thinking to systems change thinking as the only way to achieve the ultimate outcomes we strive for, which are to ultimately:

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reduce the number of people living in poverty,

increase the number of people living safe and healthy lives

put more people on to pathways to educational and employment success…

...this will require us to move from a linear and transactional mindset to a dynamic and transformational view across systems and sectors...

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...and share accountability for the alignment of mutual policy, goals, and values across systems and sectors for collective impact that none of us can achieve alone!

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One State One Secretary's Story

“By necessity, government must be smaller. We must make a dramatic shift in what can be expected of state government… The recovery will be long and bumpy, but we will survive this crisis and we will emerge stronger.” − Former Washington State Governor Chris Gregoire, Aug. 12, 2010

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Service Integration is Critical for Bending the Cost Curve over Time

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43% of dollars are used for clients who use 3 or more services $3.5 Billion

11% of DSHS clients use three or

more programs, but they cost 43%

of the dollars

11% of clients use 3 or more services n = 243,536

Clients use multiple programs when they have inter-related issues: •Complex physical health conditions

• Family problems

•Behavioral health needs

•Criminal justice involvement

•Educational issues

•Employment barriers

Service and technology integration can lead to: • Improved support

• Improved accountability

• Improved planning

• Increased fraud detection and prevention

• Increased employee safety

It all kept converging…

One Science

ACEs (children and adults)

Toxic Stress

Executive Functions (Frontiers of Innovation)

First 2000 Days

Two-Generation Poverty

Community Capacity*

Multi-System Involved Children, Adults,

Families Changing Demographics

Education

Desire for Better, Broader and Deeper

Outcomes

Systems of Care Principles

Budget Pressures

Health

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Department of Social and Health Services Moving from Linear to Dynamic

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Planning, Performance

and Accountability

Department of Social and Health Services

SECRETARY

WASHINGTON STATE Office of the

Governor

Health and Recovery Services Admin.

Economic Services Admin.

Children’s Admin.

Aging and Disability Services Admin.

Juvenile Rehabilitation Admin.

Chief of Staff

Risk Management

Financial Services

Information Services

Management Services

Public Affairs

Eligibility Effective Case Management Health and Rehabilitation Facility Based Treatment Crisis Response Poverty Reduction Organizational Business Functions Community Capacity Building Educational Success

Leadership, Organizational

Hardwiring, Policy,

Practice, and Budget

Infuse

Align

Accelerate

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How Do We Move the Science to Scale?

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Leadership and Engagement

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Cross-Sector Organizational

Hardwiring

Every Person Every Time

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Policy and Fiscal Alignment

Welfare to Work

Child Welfare

Health Care

Reform

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Thank You

Susan Dreyfus President and CEO

Alliance for Children and Families 414-359-6546 sndreyfus@alliance1.org @SusanDreyfus

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