Using the CANS in Supervision: These resources can be used by supervisors to enhance the supervision process.
Using the CANS in Work with Complexly Traumatized Children and Adolescents: Creative Applications for Different Roles: This document provides examples of how the CANS may be used in clinical supervision.

Parent-led Training. The Parent-led Training requires that supervisors are trained before any clinicians receive the Parent-led training. The training is designed this way in order to insure that supervisors facilitate clinicians’ use of the training material. Because of this sequencing, supervisors also have an opportunity to prepare for clinical questions and scenarios which clinicians may pose or face as they work to implement the training in their clinical practice.

CANS Parent and Caregiver Resources

Supervisor Training. In addition to the parent-led training, there is additional training available for supervisors. This second level of training walks through the rationale for using the CANS in a complex system, provides examples of cross-system initiatives using the CANS, walks through the process of using the CANS in Treatment Planning, and provides hands-on examples of how to use CANS-based reports for clinical supervision and program improvement.

Concrete Guidelines to Treatment Planning and Clinical Applications of the CANS. This one page document provides guidance on how to us the CANS-Trauma in treatment planning.

Super User Certification process. Per contract, each agency in San Francisco’s Child Youth and Family Behavioral Health System must have two designated SuperUsers. These SuperUsers must complete the Supervisor training and two additional steps. The first is to create a one-page CANS training vignette of a fictional client, complete the CANS items for the vignette, and create a Treatment Plan based on the vignette and ratings. Second, SuperUsers must participate in monthly SuperUser conference calls. The first requirement is a way to ensure that trained SuperUsers are able to provide accurate help to clinicians about how to use the CANS at each step in the Treatment process, from case formulation to Treatment Planning. The second requirement, attendance on SuperUser calls, provides an ongoing forum for structured discussion of either current issues in implementation, or uses of CANS-based reports to identify effective practices and align system resources with client needs and strengths. SuperUser calls are followed by a monthly summary of relevant action steps to be taken post-call. SuperUsers also receive an updated Super Q and A document which allows each SuperUser to quickly reference questions which arose during calls (or during offline discussions), and their answers. Two examples of such documents are included in this toolkit; one general SuperUser Q and A document, and a second SuperUser Q and A document specific to the transition to a new electronic health record system.

WV CANS Expert and Advanced CANS Expert (ACE) Guidelines. Since there are an unknown, but large, number of persons who will be using the WV CANS throughout West Virginia, it will not be possible to provide centralized or face-to-face training and coaching in any cost effective or timely manner. For this reason a group of “CANS Experts-CE’s” from across the state will receive intensive face-to-face training and will be available to assist others who may need additional help in completing the web-based training and/or in implementation of the instrument. The role of the CANS Expert will be to provide combination face to face and web based training in their agency and local community, oversee the training process, provide ongoing support, ongoing refreshers and oversee the reliable use of the WV CANS. WV CANS Experts are required to attend an intensive 2 day certification training, maintain a reliability of .75 annually, oversee the reliable use of the WV CANS in their agencies and communities and attend an annual face to face refresher at minimum.

Reports. Supervisors can see reports pertaining to all clients of clinicians whom they supervise. They can pull up compliance reports listing all upcoming and overdue CANS for all of the clinicians under their supervision. They can also see the progress of all clients served by each clinician, and compare rates of progress across clinicians. They can also compare rates of treatment progress by client and clinician to rates of treatment progress across the program / agency.
CANS Clinician Resources