Discussion Response (1 page)

I’m working on a Writing question and need guidance to help me study.

This week’s Discussion:

First, review the Getting to Outcomes (GTO) framework in Chapter 6 and other posted materials included in this section.

Then, using the same organization and program which you are using for your final project, consider what would be each of the 10 steps in the GTO framework. Then, discuss which step you believe is most important and which one you believe is the least and why.

Respond to at least two colleagues in one of the following ways: share an insight from having read your colleague’s posting, validate an idea with your own experience, or expand on your colleague’s posting.

(Note: You do not need to respond to the discussion questions, it is included for your reference so you are aware of what questions the students are replying to) I posted my colleagues’ responses to the discussion question above, please respond to their post. Begin the response with Hi Samantha/Arianne) (I need at least a half page response) Please include references and provide the url link to all journal articles you use as references. Use current (meaning within the past 2 years) scholarly journal articles as references. Please use APA 6th edition format. Thanks)

Samantha’s Post:

According to the RAND Coorporation, “Getting to Outcomes ™ is a results-oriented approach to running effective programs. It builds knowledge and skills among community practitioners, who can apply GTO to virtually any challenge, from drug prevention to homelessness, and clearly evaluate the results” (2020).

The 10 steps of the GTO framework are as follows:

  1. FOCUS
  2. TARGET
  3. ADOPT
  4. ADAPT
  5. RESOURCES
  6. PLAN
  7. MONITOR
  8. EVALUATE
  9. IMPROVE
  10. SUSTAIN

Within my final project, I believe that the most important step is #9, which is ‘improve’. Upon discussion in my interview with an outcomes evaluator within JWYC, it was determined that the outcomes measurement tools we use are just not fit for the VIP program that I have chosen as my final project. With that being said, however, there are other ways to track outcomes, and I will do so and discuss in my final project; it is just not the way we do so for tracking and reporting purposes. To track outcomes currently, we use the Family Assessment Device (FAD), and the Columbia Impairment Scale (CIS). The FAD measures problem solving, communication, roles, and behavior. In order to be counted towards outcomes, the same person needs to score it at the beginning and the end. What I find more important for outcomes relating to the VIP program is based towards a youth’s YLS, so education, employment, peer relations, leisure and recreation, etc. In addition, our outcomes should measure placements at the beginning and end of services.

I don’t necessarily believe there is a least important step in the process, as this framework seems like a great approach, especially to prevention services such as VIP in my case.

References

RAND Coorporation. (2020) Getting To Outcomes. Improving Community-Based Prevention. Retrieved from https://www.rand.org/health-care/projects/getting-to-outcomes.html

Arianne’s Post:

As I reviewed our reading material this week and considered our discussion assignment, I realized the most difficult part of our instructions would be the selection of one GTO step that would be the least important. Each essential step is critical to achieving success with program interventions and research work so I struggled with this detail.

I decided to go with the less difficult of the assignment first and chose the step of making a plan for getting started as my most important step. While the other steps are extremely important, I believe that even the best intentions and most talented staff cannot make up for adequate planning. Selecting the problem to address, identifying goals, outcomes and the target population are the foundation for success as is the process of researching best practices and then making modifications. However, in my experience, it seems that all of this will not be as effective without a proper plan and assessment of capacity.

Effective programs require consideration of staff time, organization resources, and clear logistical details such as location and an implementation blueprint. I believe that the planning step is best carried out through committee work that involves frontline and administrative staff to ensure for proper risk assessment and practicality. The previous steps in outcome building become irrelevant if the planning process falls short. Additional steps such as tracking data, evaluating results, making improvement and ensuring sustainability can only happen if the planning step was done correctly. Planning is a critical step in the process of ensuring outcomes are met within an intervention. This step allows the coordinator to “See the need for changes before problems arise, reduce turmoil when there is staff turnover, and make it easier to orient new staff (10 Steps to Promoting, 2008)”

If I had to eliminate one step within the essential steps to outcomes process, I would have to let go of sustainability. I would do this in hopes that the good work that took place because of the intervention would speak for itself and be noticed by others. Positive outcomes have a way of being noticed and rewarded, often with or without structured planning. It is not the best-case scenario for any intervention, but it may have the best potential without significant effort.

Resources

Little (PSBA) GTO. 10 Steps to Promoting Science-Based Approaches (PSBA) to Teen

Pregnancy Prevention using Getting To Outcomes (GTO) A Summary. Department of

Health and Human Services and Center for Disease Control. (April 2008) Retrieved

on August 2, 2020 from https://www.cdc.gov/TeenPregnancy/PDF/LittlePSBA- (Links to an external site.)

GTO.pdf

Getting To Outcomes,Improving Community-Based Prevention Rand Healthcare (2020)

Retrieved on August 4, 2020 from https://www.rand.org/health- (Links to an external site.)

care/projects/getting-to- (Links to an external site.)outcomes.html

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