Module 14 This material is copyright under US and applicable international laws. It is a violation of copyright to copy, duplicate, edit, or broadcast this material for any reason or by any means without prior written consent from Denise Krause. Module 14 Outline • Segment 1 (Slides 5-18) • – Adultcentrism • Definition • Roots • Implications Segment 2 (Slides 19-31) – – Strengths Perspective Continuum of Care Module 14, Segment 1 (Slides 5-18) –Adultcentrism • Definition • Roots • Implications I. Adultcentrism & Strengths Perspective II. Course Review Segments 1-3 Module 14 Outline • Segment 3 (Slides 32-39) – Course Review – Course Review • Outline-Bringing it together • AssignmentsOwning the material • Where to go? Adultcentrism • Is the tendency of adults to view children and their problems from a biased perspective • Creates barriers to effective practice with children 1 Adultcentrism • Negative consequences – miscommunication – inaccurate judgments – misuse of power – undermining strengths and competencies Manifestations of Adultcentrism • The United States is one of a handful of countries that has refused to ratify the United Nation ' s Convention on the Rights of the Child • Only 33 percent of the families responding to a recent national survey stated that society places a great deal of value on children Roots of Adultcentrism • • • • • For Thought • Our children are not individuals whose rights and tastes are casually respected from infancy, as they are in some primitive societies, but special responsibilities, like our possessions, to which we succumb or in which we glory, as the case may be. They are fundamentally extensions of our own egos, and give special opportunity for the display of authority. Adultcentrism in Child Development Theory Embedded in stage theories of child development are two subtle, yet central adultcentric biases: 1. that children are incomplete 2. that children are essentially incompetent. View of children as supports to adults Influence of Christianity Education and social welfare programs Study of childhood Human rights of children Incomplete Bias • • • • • • • Children are: dependent amoral egocentric illiterate irrational emotionally unstable • unproductive • present oriented • • • • • • • Adults are: independent moral sociocentric literate rational emotionally stable • productive • future oriented 2 Incomplete Bias Incompetent Bias • Although our society no longer views children as miniature adults, stage theory encourages us to view them as small, incomplete beings on their way to becoming adults • Stage theories of development become intertwined with the process of socialization, or "acculturation" to the dominant, adult culture • We view children as essentially incompetent and incapable, because we measure their competence against our own: – child development theorists have consistently underestimated the competencies of children at any given age – theories are so focused on the growing up process that we fail to view children for who they are. Incompetent Bias Ableism • • So much focus is on the socialization, growing up process that we fail to view children as children, with their own knowledge, skills and even culture. Children are seldom studied in their natural environments and from their own perspective of what is important Adultcentrism and Ableism • Interlocking nature of oppression for children with behavior disorders –Consider the nature of our understanding of children –Consider the oppression against children with a behavior problem (mental illness/disability) • Ableism is defined as stereotyping, negative attitudes, and discrimination toward people based on a physical or mental disability resulting in discrimination and/or prejudice. Social Work Ethics • Value: Social Justice • Principle: Social workers challenge social injustice • Standard: Cultural competence and social diversity 3 Module 14, Segment 2 (Slides 19-31) – Strengths Perspective – Continuum of Care Strengths Perspective in Direct Practice • Strength orientation is more responsive to the humanistic, ethical, and political conditions that characterize the helping process • A pathology approach is inadequate because it tends to reduce the complexities of the human state to narrow compartments of diagnostic schemes Strengths Perspective • Relies on areas of competence in children • Based on reinforcing positive attitudes and behaviors • Maximizes opportunities for children to be involved in decision making that effects their lives Comparison of Pathology and Strengths • • • • • • • Pathology: Person is defined as a "case"; symptoms add up to a diagnosis. Therapy is problem focused. Personal accounts aid in the evocation of a diagnosis through reinterpretation by an expert. Practitioner is skeptical of personal stories, rationalizations. Childhood trauma is the precursor or predictor of adult pathology. Centerpiece of therapeutic work is the treatment plan devised by practitioner. • • • • Strengths: Person is defined as unique; traits, talents, resources add up to strengths. Therapy is possibility focused. Personal accounts are the essential route to knowing and appreciating the person. • Practitioner knows the person from the inside out. • Childhood trauma is not predictive; it may weaken or strengthen the individual. Centerpiece of work is the aspirations of family, individual, or community. • Comparison of Pathology and Strengths Strengths-Based Assessment • Pathology: • Practitioner is the expert on clients' lives. • Possibilities for choice, control, commitment, and personal development are limited by pathology. • Resources for work are the knowledge and skills of the professional. • Help is centered on reducing the effects of symptoms and the negative personal and social consequences of actions, emotions, thoughts, or relationships. • Give preeminence to the client's understanding of the facts • Believe the client • Discover what the client wants • Move the assessment toward personal and environmental strengths • Make assessment of strengths multidimensional • Use the assessment to discover uniqueness • Strengths: Individuals, families or community are the expert. • Possibilities for choice, control, commitment, and personal development are open. • Resources for work are the strengths, capacities, and adaptive skills of the individual, family, or community. • Help is centered on getting on with one's life, affirming and developing values and commitments, and making and finding membership in or as a community. 4 Strengths Perspective and Cultural Competence Strengths-Based Assessment • Use language the client can understand • Make assessment a joint activity between worker and client • Reach a mutual agreement on the assessment • Avoid blame and blaming • Avoid cause-and-effect thinking • Assess, do not diagnose Continuum of Care • Continuum of care is a concept that refers to a system of care that provides various options for children and families at various levels of restrictiveness – Least restrictive alternative: espouses the concept that children and families who need services should receive those services in ways that are the least restrictive of their basic rights. Continuum of Care Across Settings • Mental Health – – – – Weekly outpatient Day treatment Partial hospitalization Short-tem hospital in community – Long-tern residential treatment, outside community – State mental hospital • Least Restrictive • Most Restrictive • • • • Develop a set of abilities and capacities See through the eyes of clients Assess own values, beliefs, and culture Think and behave flexibly and nonjudgmentally • Respect and value diversity as a positive, enriching characteristic of human life. Continuum of Care Across Settings • Child Welfare – Biological or adopted family – Extended family – Friends – Foster Family within the community – Group Home – Locked facility • Least Restrictive • Most Restrictive Continuum of Care Across Settings • Education • Least Restrictive – RC, full-time – RC, instructional support – Mostly RC, part-time with outside resource room – Mostly SEC in regular building – Full-time SEC in special building – Special school within district • Most Restrictive – Placement outside of district 5 Critique of Continuum of Care and LRA Module 14, Segment 3 These concepts: • Implicitly legitimize highly restrictive settings in various ways • Equate level of segregation with intensity of services, because they assume that the most segregated, restrictive settings provide the highest intensity of services • Suggest that people will be uprooted frequently as they move up or down the continuum ladder (Slides 32-39) – Course Review • Outline-Bringing it together • Assignments-Owning the material • Where to go? Ecological Systems Ecological Model • Ecological models – describe the child’s environment as a series of nested and interconnected structures – Transitions bring about changes in roles that change how people think and act and how they are treated; • Transitions result from development and instigate developmental processes The developing person is at the center of and embedded in several environmental systems, ranging from immediate settings such as family, home surroundings, school, and peer as well as less immediate influences such as mass media, extended family, community health and welfare services, and even the broad ideology, laws, and customs of the child’s culture. Themes Across Behavior Disorders Ecological Influences • • • • • Development Systems Risk factors Protective factors Culture • • • • • • Labeling Controversy in cause and treatment Look for associated factors/influences Consider environmental forces Culture always plays a role See the child as a person first 6 Student Accountability • • • • • • Case assessments Module assessments Chat sessions Research topic Exams Readings Where to Go? • SSW992- Description of disorders, contextualizing disorders in the field of social work • Practice-”now what do I do?” • Policy-”where can I advocate for macro change?” • Research-”what do I need to know more about?” The End 7