Connecting Person-Centered Values to System Change

How Transformational Collaborative Outcomes Management (TCOM) supports family well-being

Every day families interact with complex systems. These may include child welfare, public schools, health care, criminal justice, behavioral health, or similar systems. When they do, what can the professional care providers they encounter do to improve those families’ chances for better health and well-being?

This is the question that led Dr. John Lyons to create a set of open domain tools and strategies that put individuals and families at the center of planning their own care. This “person-centered” approach leads to effective services and long-lasting change for families while providing critical information to funders and policy makers about how to transform the system to better serve those with the greatest needs. Critically, these tools start with defining each family’s or individual’s strengths, while also identifying their specific needs. The tools also create a common, action-oriented language for the family and support team as they develop a coordinated plan for change. Over the past 30 years, these tools have been adapted and implemented throughout the United States and all over the world.

The assessment tools described below are now used by nearly 5,000 agencies across 10 countries and by providers in all 50 states in the U.S. The tools include:

The tools are grounded in Transformational Collaborative Outcomes Management (TCOM). TCOM has a single vision of helping everyone involved with a system focus their efforts on helping people achieve their wellness goals. A series of feedback and coaching supports are provided within TCOM to translate the vision into measurable impacts.

Those who use the TCOM approach have formed an international learning collaborative that interacts regularly through a blog, a training portal, and an annual conference. The 15th annual conference will be held in Palm Springs, CA in 2019; registration is now open for this conference.  The conference allows participants to learn from each other about TCOM and the assessment tools. They also learn to adapt the tools to support data-informed decision making, improve systems and practice, and facilitate each agency’s ability to achieve goals for their systems and their clients.

At Chapin Hall, the TCOM team consists of more than a dozen dedicated experts in child and family welfare, behavioral health, juvenile justice and education, while calling on additional specialized expertise from the broader Chapin Hall team. Together, they translate knowledge from science into practice for family-serving agencies across the globe. This practice in turn informs and builds on the science.

Chapin Hall provides training, coaching, implementation supports, technical assistance, and advanced analytic work. Consistent with the values of TCOM, we tailor our supports to your specific culture and context. For more information,contact us at