MODULE 6: CREATING HARM AND DANGER STATEMENTS AND SAFETY GOALS TRAINER NOTES Purpose: To begin the practice of co-creating clear, concise statements of harm and danger and clear safety goals that will help organize all of our work with families. Estimated time: This module should take 2.5 to 3 hours to complete depending on how much time you allow for discussion and the exercises. Stating that this is a three-hour workshop is probably more accurate. Handouts needed: PowerPoint handout Coaching and Supervision Tips for Module 6 Things to Try for Module 6 Harm Statements, Danger Statements and Safety Goal Handout and Examples SDM® P&P Manual (If doing the Kim and Paul exercise): Kim and Paul Four-quad Map Key Themes: Harm statements about the past, or why we got involved with the family. Danger and goal statements are about the future, or why we are involved with the family now and what we hope to accomplish. Harm, danger and goal statements increase the focus of our work and help us to better communicate with families. Harm, danger and goal statements help us clarify our own thinking and better communicate with our supervisors and with each other about how to best partner with a family to increase child safety. 1 © 2012 by NCCD, All Rights Reserved https://sharepoint.nccdcrc.org/Projects/Project Documents/USA/California/632SanDiego/Modules/6 Danger, Harm and Goal Statements/Module 6 Trainer Notes.docx Whenever possible it is best practice to craft these statements WITH families but critically important to remember not to give up agency “bottom lines” when creating them. The SDM System helps to focus on what needs to be addressed in the harm, danger and goal statements. Safety threats from the SDM safety assessment should correspond directly with concerns mentioned in the Danger Statements. Safety goals are clear, simple statements about what the caregiver will DO that will convince everyone the child is safe now and into the future. Instructions: See trainer notes in the PowerPoint presentation. Also, see below for trainer notes on exercises. Exercises: 1) “Let’s Get Started” exercise (Slides 10–11): These two slides set the table for the module by asking the group to consider how able they are to share with families why they are working with them (harm and danger statements) and what needs to happen for their cases to close (safety goals). This discussion can be referred back to throughout the rest of the module. See detailed instructions in the speaker notes of the PPT. 2) Initial Practice with all three statements: 2a) Harm Statement Practice (Slide 22) 2b) Danger Statement Practice (Slide 31) 2c) Safety Goal Practice (Slide 47) These three little “mini” exercises with the “Wendy and Beth” vignette take place throughout the didactic presentation on the HS, DS and SG’s. They help to break up the presentation and make sure that everyone has had some chance to work on the statements with a relatively easy example. See the PPT speaker notes for more details and for examples of finished statements for each of these areas. 3) Larger Practice Before the module concludes it is important to give the group a chance to practice on a larger or more complicated example. Trainers have two choices at this point. They can use the Kim and Paul example (slides 68–76) or have the group break into small groups to use their own cases (slide 78). CRC recommends that if this is a new group to use the Kim and Paul exercise, and if this is a group that has some practice making HS, DS and SG”s to use their own cases. 3a) Kim and Paul Harm Statements, Danger Statements and Safety Goals Practice Exercise (Slides 68–76). 10 to 15 minutes for this exercise in the groups with time to share as the group after. 2 © 2012 by NCCD, All Rights Reserved https://sharepoint.nccdcrc.org/Projects/Project Documents/USA/California/632SanDiego/Modules/6 Danger, Harm and Goal Statements/Module 6 Trainer Notes.docx This exercise asks the group to compose a danger statement for Kim and Paul. Finished product examples of these appear in slides. These slides can be hidden in the PowerPoint and not printed in the handouts if the trainer desires. Alternatively trainers can just ask groups to refrain from looking ahead before they do the exercise. They can be unhidden before showing the PowerPoint so the group can see some examples after they try to make a danger statement. TRAINER NOTE ON THIS EXERCISE: As mentioned in the speaker notes, the safety goal for Kim and Paul can be a provocative one and lead to a good conversation in the group. Trainers should consider allowing the conversation to go and let the group wrestle with the difficult dilemma of what exactly is an appropriate child welfare goal for Kim – is it sobriety or something else? You can remind your group that you have an agreement to “agree to disagree” your purpose is not to seek consensus on this but to deepen their conversation and invite people to challenge their assumptions. Even if people in the group disagree greatly from each other your trainees may learn a lot from the conversation! Some questions to consider asking to help the conversation move along are: What, if anything, concerns them about this safety goal for Kim? What do they like? What concerns them? Is sobriety always the right goal for our work? Are there times when sobriety might be a “set-up” in our work? For CPS? For Kim? For Paul? How might presenting this statement open up a conversation with Kim? What might that conversation be like? (To the people who are concerned): Would this be different at all if Kim abused alcohol instead of heroin? Why? TEACHING POINT: Useful just to bring home the point…while some people may strongly feel strongly that Kim should be sober…sobriety may not always be an appropriate goal in all our cases where there is substance use and abuse. 3b) Open Practice (Slide 78) alternative exercise to Kim and Paul vignette Ask one person to think of a family they are working with and know reasonably well, and for whom there is at least one SDM safety threat. When one person in each group indicates that he/she has a family in mind, ask that person to tell the other two the minimum they need to know about the family. Give them three minutes ONLY, so they have to be concise. They should include a brief genogram (who lives in the house and any known safety network members), what information was in the initial report, which SDM safety threat exists now and brief facts that support those safety threats. 3 © 2012 by NCCD, All Rights Reserved https://sharepoint.nccdcrc.org/Projects/Project Documents/USA/California/632SanDiego/Modules/6 Danger, Harm and Goal Statements/Module 6 Trainer Notes.docx They should try constructing a harm statement, danger statement and safety goal based on these facts. Report out by having one group volunteer to read their statements. Ask the rest of the group to check to see how well their statements conform with the formulas and tips we’ve covered. If you have time, you can have another group do this as well. Ask anyone who did not read theirs out loud to take one more minute to look at theirs and wonder what the large group WOULD have said about theirs. (Any group that presented can use this minute to tighten their statements based on feedback.) 4) Conclude with “thinking and ahead” and show tip sheets. 4 © 2012 by NCCD, All Rights Reserved https://sharepoint.nccdcrc.org/Projects/Project Documents/USA/California/632SanDiego/Modules/6 Danger, Harm and Goal Statements/Module 6 Trainer Notes.docx