KEEP
Keeping foster and kinship parents
trained and supported
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Familjeforum's KEEP-team
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Liv Nilsson, program-supervisor
liv.nilsson@familjeforum.com
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Anneli Andersson, facilitator
anneli.andesson@familjeforum.com
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Jennie Börjhagen, co-facilitator
Jennie.borjhagen@familjeforum.com
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Presentation
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Who are we that work with KEEP?
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Status of foster care in Sweden?
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What is KEEP?
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KEEP in USA
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KEEP in Sweden
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KEEP and MTFC
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The status of foster-care in
Sweden?
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The government's investigation of maltreatment within the
social services for children showed serious abuse and
maltreatment in institutions and in foster homes between the
20's and the 90's
http://www.socialstyrelsen.se/pressrum/nyhetsarkiv/regeringendelrapporteraromplaceradebarnssituation
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The Child Welfare Inquiry recommends that the Social
Welfare Board's responsibility to educate, support and guide
the fosterhomes should be more clearly emphasized in the
legislation.
(http://www.socialstyrelsen.se/oppnajamforelser/barnochunga/Documents/metodbilaga_barn.pdf
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What becomes of the placed
children ?
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The children who have been placed in foster homes are at risk
for future adverse outcomes such as suicide, suicide
attempts, severe mental illness, addiction, crime, teenage
parenthood, supply problems and more. (Vinnerljung 2009)
The primary adverse outcome appears to be school and
education. (Vinnerljung 2009)
The breakdown frequency among children in foster care aged
5-11 years is 37% (Jönsson 1995)
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Fostercare + scientific evidence =?
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MTFC, tested and researched, good effect!
Pride, limited research material indicating
moderate or no effect.
Consultant Supported foster care, not studied.
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KEEP - Basics
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Addressing foster families with children aged 5-12 years.
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16 group sessions, once a week.
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The sessions last for 60-90 minutes.
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The sessions are led by two course leaders.
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The groups consist of 4-10 foster parents.
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At each session a new skill is taught and feedback and
support is given.
Group sessions are designed to be informative and fun.
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Course leaders call every week to the fosterfamilies and
collect the PDR.
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Homework.
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Each session is filmed.
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Missed sessions will lead to makeup-sessions.
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Refreshments will be served.
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Babysitting is offered when needed.
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KEEP in USA
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The San Diego Project.
RCT study in which over 700 foster families were offered
KEEP.
The results showed that the families who where offered KEEP
reduced the number of behavioral problems of the child,
decreased the amount of breakdown and increased output
of successful exits).
Research and implementation linked to OSLC Oregon Social
Learning Center.
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KEEP in Sweden
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Collaboration between the School of Social
Work, Oregon Social Learing Center and INOM
Familjeforum.
Ongoing marketing efforts to link
municipalities and foster homes to KEEP.
All cases are studied.
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KEEP in Sweden
• Implementation in four steps:
• 1.
Training of a KEEP-team (fall 2010)
• 2. Implementation
• 3. Certification
• 4. Training
of KEEP-groups (ongoing)
Process
of new KEEP-teams
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KEEP in Sweden
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Voice-over and streaming of the film material.
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Cultural adaptations of the manual.
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Structure of the KEEP-team
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Counselor
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Supervisor
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Facilitator
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Co-faciliatator
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The chapters in KEEP
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Foster parents as teachers, the importance of cooperation.
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Foster parents as teachers, teaching new behaviors.
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Using charts and incentives.
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Setting limits.
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Discipline strategies
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Balancing encouragement and limit setting.
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Avoiding power struggles.
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Pre-teaching
Super tough behaviors.
Promoting school success.
Promoting positive peer relations.
Supporting the child´s contact with the biological system.
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Stress management.
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A taste of KEEP
1.
2.
A practical approach where role play is used
as a technique to practice the skill ”how to
ignore negative behavior”.
Role play is one of many techniques used in
Keep. It is often used to give the parents
opportunity to practice new skills and also a
way to give them a better understanding of
the child´s situation.
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What tools or approaches can be
used in MTFC?
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Track concrete behaviors , ”what is the child doing”
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”Catch them being good”, focus on positive behavior
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”The things you give attention to you get more of”
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Asking explorative questions
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Giving suggestions of alternative strategies
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The chart should always include a behavior that the child
already manages
Reasonable expectations of the child achievements , when to
reward the child?
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The four roles of foster homes: teacher, detective,
guardian angel and referee.
Stick to your plan when dealing with behaviors.
To train behaviors by making formal / informal
agreements.
Pre-teaching.
The balance between positive reinforcement and limit
setting.
How to use predictable consequences for the child.
To avoid power struggles.
Stress management.
Escalation curve.
Roleplay.
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Differences between KEEP and
MTFC
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The KEEP-facilitator is explorative and
advisory, not controlling.
KEEP is addressed to the foster homes who
have children in the right age and are
interested, we have not chosen foster homes.
Foster homes may have multiple placements.
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Thank you for your attention!
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Readable about KEEP
http://www.svd.se/nyheter/idagsidan/barnunga/placeradebarn-far-angel-och-detektiv_5953313.svd
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http://www.preventionaction.org/what-works/keep-provesits-worth-keeping-across-us
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http://www.preventionaction.org/node/458
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2441918/
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