The Core Practice Model: Engaging Families

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The Core
Practice Model:
Engaging
Families
Jarred Vermillion
Manuel Lua LMFT
Objectives
○
Understand the effect of trauma on engagement
of children/youth and families with professionals
○
Discuss ways to develop full partnership with
children/youth and families in the Child and
Family Team
○
Adjust engagement approaches so that they are
sensitive and responsive to cultural differences
○
Assure family voice, choice, and preferences
throughout the process
Your Needs
Why did you Chose a Training on Engagement?
One thing You Want To Walk Away with?
Mental Models ?
"The image of the world around us, which we
carry in our head, is just a model. Nobody in his
head imagines all the world, government or
country. He has only selected concepts, and
relationships between them, and uses those to
represent the real system” -Jay Wright Forrester
Mental Models Impact on Engagement
The concepts, ideas, believes we carry in our heads
about families will impact our relationship and our ability
to engage and create facilitate
HOPE
Mental Model Challenge
What are the key bodily components required to drive
a car?
Engagement with Families….
Starts With Our Mental Model
Drive
Movie
What Key Concepts Can We
Learn From Richi When
Engaging With Families
Introduce self and share key concepts
Todays Mental Model
○ Family
Engagement is…..
○
Strength Based
○
Family Centered
○
Partnerships
What Do you see?
Strength Based is…….
★
Creating Space for Compassion, Connection
and Competence
★ An approach and energy to discover/assess,
increase and build on an individual or families
strengths:
★ Focus on the strengths vs solely deficit-based
approach
■ skills
■ knowledge
■ experiences
■ positive qualities
■ Talents
■ Characteristics
Family Centered is…….
ACTIVITY: Pair up and share, about a time when someone told
you, how it was, what you should do and did not ask for your
perspective. Please share with each other.
Family Centered
○Challenges traditional mental models of the
who the client is….
○Challenges traditional mental models of what
a family is…
○Challenges traditional mental models of who
can help…..
Family Centered Activity
If you were the clients
1. Who would I have o get to know to know you
2. Who makes up your family
3. Who is/are the most helpful in your life
Partnership means…….
○ Service is Developed and Delivered in Collaboration
● Partnering beyond,
○ Family
○ Youth
○ Children's Mental Health
○ Child Welfare
○ Family supports
○ Requires Teamwork:
○ Shared Vision and Beliefs
○ Communication
○ Team Decision Making
○ Commitment
Partnership Activity
Shared Vision and Beliefs
Communication
Team Decision Making
Commitment
Objective 1
Effect of Trauma on Engagement of
Children/Youth and Families with
Professionals
What Is Trauma
○
A serious injury or shock to the body, as from
violence or an accident.
○
An emotional wound or shock that creates
substantial, lasting damage to the psychological
development of a person, often leading to
neurosis.
○
An event or situation that causes great distress
and disruption
Trauma Affects
○
○
○
○
○
Brain Function
Attainment of Developmental Milestones
Social Perceptions
Health
Emotion and Behavior
○ Relationships
Typical Response to Trauma
○
Fight
○
Flight
Describe a “disengaged “
client
In groups discuss the behaviors that impact YOUR
relationship with your client?
Fight behaviors?
Flight behaviors?
Multiple Transitions
Movie
Trauma & THE “SYSTEM”
Group Questions
1.
Can the “System” cause trauma?
1.
What are typical “symptoms” associated to System Trauma”
1. How is engagement impaired?
Trauma-informed practice focuses upon
what has happened to a child and
his/her family rather than what is wrong
with that child or family. It means using
knowledge of trauma and recovery to
design and deliver services.-Core
Practice Model
Trauma Informed Care Elements
National Child Traumatic Stress Network Child Welfare Committee
○Maximize physical and psychological safety for
children and families
○• Identify trauma-related needs of children and families
○• Enhance child well-being and resilience
○• Enhance family well-being and resilience
○• Partner with youth and families
○• Enhance the well-being and resilience of those
working in the system
○• Partner with child-serving agencies and systems
Objective 2
Partnerships for
Engagement
Partnerships Creates Interconnectedness
Mental Model for
Partnerships
Acknowledge and Deconstruct Power Deferential and
Hierarchy Narrative
What s the “traditional” Mental
Model regarding Hierarchy with
the Clients we Serve?
1.
2.
3.
4.
Who holds the Power
Who makes the decisions
Who's on tip of hierarchy?
Who’s on bottom
EDUCATION
EDUCATION
+
MENTAL
HEALTH
ED+MH
+CW
EDUCATION
+
CHILD
WELFARE
Youth
and
Families
ED+CW
+JPD
CHILD WELFARE
ED+MH
+JPD
JPD+
MH+CW
CHILD
WELFARE
+
JPD
MENTAL HEALTH
MENTAL
HEALTH
+
JUVENILE
PROBATION
DEPT
JUVENILE
PROBATION DEPT
Deconstructing the Narrative
Starts with Understanding the
Narrative
“Timelining” the experience of “the system”
Key Timeline Questions
Pacing and Leading
Pacing (Colombo Approach)
○
○
○
○
○
○
When did you first become involved?
Can you tell me about the different people
that attempted to help you?
Who was helpful…..who wasn’t?
What was the least helpful ?
What was the most helpful
What was the hardest/most challenging part
of your experience?
Key Timeline QuestionsPacing and
Leading
Leading (pay attention to key descriptors)
○
○
○
○
○
If you could do that part all over again (select any part
of timeline) how should it been handled?
What would have been more helpful
Given you’ve gone through all this, what have you
learned about yourself that would be helpful to me
What do I need to know about working with you?
If you were your own provider how would you
approach working with you?
Seeking the Transformative
Statement
What are we offering to families?
○Commodities
○Products
○Services
○Experiences
○Transformations
Partnerships for Engagement
○Seek to understand their desired transformation not our
assessed problem..
○When ever possible, use their language….everywhere
○Allow them to change goals as frequent as needed
○CREATE A CULTURE WHERE
FEEDBACK IS VALUED
Deconstructing the
Hierarchy
Nonjudgmental Communication
“Communication is the largest single
factor determining what kinds of
relationships she or he makes with
others and what happens to each in the
world”-Virginia Satir
Elements of Communication
Virgnia Satir
○
○
○
○
○
○
We bring our Bodies
We bring our Values
We bring our Expectations
We bring our Sense Organs-eyes, ears,
nose, mouth, and skin
We bring our Ability to Talk-How we Talk
We bring our Brains/Knowledge
The Communication Dance
Virginia Satir
You are face to face with me. Your senses take in what I look
like, how I sound, what I smell like, and, if you happened to
touch me, how I feel to you. Your brain then reports what this
means to you, calling on your past experiences, your book
learning. Depending on your brain reports, you feel comfortable
or uncomfortable, your body is loose or tight.
Meanwhile, I am going through something similar,. I too, see,
hear, feel something, think something, have a past, and have
values and expectations and my body is dong something…….
Tips to Developing Partnerships
○
○
○
○
○
○
○
○
Common Goals
Developed Trust
Clear Unity and Purpose
Effective Conflict Management
Inputs valued
Roles are clear and able to flex
Accountable to each other
Shared Commitment
Interconnectedness
Movie
Objective 3
Engagement Approaches
”sensitive and responsive to cultural differences”
It is important to recognize how challenging the
engagement process can be, particularly among
minority cultures and families dealing with serious
mental illness and/or substance use disorder.
Cultural Connections
Discussion Big Ideas:
★ Youth Culture
★ Individualized Approach vs Cultural Assumptions
★ Awareness of our Culture
Activity:
Thinking about the families we work with, as a group
breakdown culture. Define and list the different
types of culture.
Engagement Styles and Skills
★ Seeking to understand
★ Showing genuine
interest
★ Creating opportunities
for cross teaching
★ Encouraging autonomy
and transparency
★ Using your senses
○ Sight
○ Smell
○ Touch
○ Hear
★ Seeking strengths to
defuse anger
★ Finding common
Ground
Engagement Approaches-CPM
○ Be diligent in reaching out to children and families in ways that
are welcoming, appropriate and comfortable for them.
○ Model honest
and respectful communication.
○ Ensure that the child and family receive needed information,
preparation, guidance, and support during their
involvement with the child welfare and/or mental health systems
○ Communicate regularly with team members and make sure each
team member has the informations/he needs to make informed
decisions
○ Encourage and support the participation of children and families in
defining and/or determining their individual
treatment and services. Ensure that they understand what is and is
not in their control
Child Welfare System
Out of Home Placement
Referral
to CPS
Path 2
w/CBO
Path 3 CPS
responds
Child
Removed?
Ongoing:
Family Assessment
Path 1
Refer to
CBO
Yes
Detention
Hearing
Emergency:
• Home Visit
• Criminal Record
• Child Abuse Index
Family
Reunification
Dispo/Juris
Hearings
FR
No FR
NO
Child Returned
Continue
Continue
(18 mos)
FR
FR
(12 mos)
6 Month
Permanency
Permanency
Hearing
Review
Hearing
Hearing
Status
Review
Hearings
End FR
Child
Returned
Family
.26
Hearing
Maintenance
Services
Permanency
Alternative
Identified
TPR for Adoption
or Order Guardianship
Long-Term
Foster Care
Extended
FC (AB 12)
Hearings continue
every 6 months until
dependency is
dismissed
Objective 4
Voice and Choice for
Engagement
Voice and Choice is………
Prioritize and elicit family/youth voice and
choice including:
○Choosing Supports, Services and Providers
○Setting Goals
○Designing and Implementing programs
○Monitoring Outcomes and Determining
Effectiveness of all supports
Youth Voice: Engagement
Styles
(INSERT VIDEO)
Voice and Choice for
Engagement
THANK YOU
○Please fill out evaluations and registration packets
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