Upload
liliana-green
View
219
Download
0
Tags:
Embed Size (px)
Citation preview
What works in child welfare
Social worker contactThe heart of the job
What works?
• The relationship between the caseworker and the family
• Parent child visits
• Involvement of foster parents
Hubble Duncan & Miller (1999) APA4 Common Factors in Treatment
Compare to fed studyWhat specific actions work?
-Establishing open, honest communication with parents
-Requesting family participation and feedback in the planning process
-Providing instruction and reinforcement in the performance and completing of mutually agreed upon activities.
Family Reunification: What the Evidence Shows at www.childwelfare.gov
So lets start with the concept of motivation
• We have changes our thinking about it• Used to think that they are motivated or not
and there is not much you can do about it• A person is motivated if they agree with the
social worker• Confrontation, Advice, or threats of
consequences are the best way to bring about change
Let’s see if persuasion worksPersuasion Exercise
• Explain why a participant should make a change.
• List at least 3 specific benefits to make this change
• Tell the participant how to change• Emphasize how important it is for them to
make the change• Tell the person to do it!
Persuasion Exercise Part 2Using an engagement motivational approach
• Ask “ Why do you want to make this change?”• “How might you go about it in order to
succeed?”• “What are the 3 best reasons to do it?”• Summarize what you heard?• Ask “What will you do next?
Engagement is aboutSeeing the Motivators and
Talking Motivators
WII-FM
What are people’s motivators?
• They are deep, what really matters– Different strokes for different folks
• They can be what you are, want to be, dreams– They are how you engage people– How you facilitate hope– Reasons to make the change?
• What questions do you ask to find them?
Where to start
Change is about the ERR
Elicit RecognizeReinforce
ElicitHow do you get people to talk!
Open ended questions
Questions the encourage discussion and leave a broad latitude for how
to respond
Got it right when:
They are the ones talking
Let them do the heavy lifting
Requires us to be
In the moment
Thinking only about what they are saying
ThenExplore
and Recognize
• Reflect what you hear.• Wonder with them, explore, look for
ambivalence and reflect both sides• Trust the process, this is actually faster• Look for what has worked, build confidence,
look for solutions
What if we are stuck on “I will not...”
Focus on both your interest
Interest vs. Position
• Position is What I want– I want an orange– I don’t want to go to parents ed– I want my drugs
• Interest is Why I want it– Why the orange– What don’t you like about parent ed? – What does the drug do for you?
Which was more successful?
• Changing behavior changes people
• Focus on what needs to happen
• Ask questions that look for solutions from their world
Solution Focused interviewing
• “When” rather than “If”• Coping Questions• Exception Seeking Questions• Scaling questions• Miracle Question
What questions can I ask that assess for safety, permanency and well-being and remember the
child’s development
TOOL: Developmental Approach to Assessing Safety, Permanency and Well-being with families
• For each of the major child developmental groups– Quick reminder child development– ? assess well-being and permanency– ? To review Safety concern
• Age appropriate questions for worker to ask children in the home– ? Ask well-being– ? Ask Safety
Prepare
Review plan, identify goals, plan questions
Wrap- up • r
eview & summarize
Contact with children
Relationship of Caseworker Visits with Children and Outcomes in the CFSR
A “strength” rating for caseworker visits with child was significantly associated with “substantially achieved” ratings for 5 of the 7 outcomes.
• Children are safely maintained in their homes when possible and appropriate.
• Children have permanency and stability in their living situations.
• The continuity of family relationships and connections is preserved for children.
• Children receive appropriate services to meet their educational needs.
• Children receive adequate services to meet their physical and mental health needs.
Relationship between Caseworker Visits with Children and Other Indicator Ratings
in First Round of CFSR
Significant relationships were also found between caseworker visits with children and . . .
Achieving the permanency goal of other planned living arrangement
Achieving placement with siblings
Preserving children’s connections while in foster care
Maintaining the child’s relationship with parents
Assessing needs and providing services to children and families
Relationship between Caseworker Visits with Children and Other Indicator Ratings
in First Round of CFSR
Significant relationships were found between caseworker visits with children and . . .
Providing services to protect children in the home and prevent removal
Managing the risk of harm to children
Establishing permanency goals
Achieving reunification, guardianship and permanent placement with relatives
Relationship between Caseworker Visits with Children and Other Indicator Ratings
in First Round of CFSR
Finally, significant relationships were also found between caseworker visits with children and . . .
Involving children and parents in case planning
Caseworker visits with parents
Meeting the educational needs of children
Meeting the physical health needs of children
Meeting the mental health needs of children
Child and Family Services Improvement Act of 2006
Requires at a minimum –
That children in care are seen at least once a month by their
case carrying worker That the visits be purposeful and
focus on issues pertinent to case planning, child safety, permanency and well-being
The majority of those visits occur in the child’s residence.
Federal Target
At Least
90% Of Children in Care Are Visited Every
Month
50% Or More Of The Visits Occur In The
Home
Goal by Oct 1, 2011
The Cycle of Conducting Purposeful and Meaningful Caseworker/Child Visits
Preparation
Engagement/The Visit
AssessmentCommitments
Next Steps
Step One: Preparation Schedule visit. (Some unannounced visits?) Review case information. Identify issues related to safety, permanency and
well-being. Review case plan goal Prepare an agenda –your goal and prepare
questions. Inform the child and caregiver about the agenda. Prepare yourself.
Worker/Child Contact
Step Two: Engagement/The Visit
• Warm-up • Establishing the purpose of the visit• Making the connection with the child
– Alone time• Gathering the information
Worker/Child Contact
Activity: “Interpersonal Skills with Children”
Think about a child who is of the age assigned your group.
How can you demonstrate genuineness, empathy and respect in your work with him/her?
Write one question engage the child
TOOL: Safety, Well-being and Permanency checklists
• For each of the major child developmental groups
• Questions for worker contact with caregivers– Assessing the caregiver’s ability to help the child
through the transitions, parent child visits, etc.• Age appropriate questions for worker contacts
with children– Assessing the child’s transition, quality of out of
home care
Ensuring Safety, Permanency and Well-Being: Suggestions for conducting contacts
with children and caregivers
• Tool based on a child’s developmental age• Suggestions on how to talk to the child about
safety, permanency or well-being issues• Look at your age group’s tool.• What's different • What’s the same
Step Three:Assessment and Commitments
1. Assessing information gathered during visit.
2. Making commitments and plans with the child.
3. Sharing information with the caregiver.
Worker/Child Contact
Step Four: Next Steps
1. Consulting with supervisors and other experts.
2. Documenting visit. 3. Implementing case plan decision/services.4. Beginning the preparation step for the next
visit.
Worker/Child Contact
Basic Elements
5 questions• Who participated in the visit?• What was the purpose of the visit?• What type of contact• Where did the visit occur?• When did the visit occur?
page 5
The w’s
• Who
WHYWhat
Who
Where
When
What do you want to take back?
• What do you want to try?
• On what case? What would be the benefits?
• What would be the first steps, who could help you?
You are doing such important work!!!!Thank-you for what you do!