Session 4.4: Visitation Time: 2 hours Developmental Competencies SW110-01 Ability to complete visitation plans that underscore the importance of arranging and maintaining immediate, frequent, and meaningful parent-child visitation when out-of-home placements are deemed necessary SW110-02 Ability to prepare parents for the agency’s expectations about a parent’s role and responsibilities during parent-child visitation SW110-03 Understands the complex emotions experienced by children and parents prior to, during, and after parent-child visitation SW109-04 Ability to help prepare parents and children for the unique challenges of family reunification in a manner that minimizes stress and provides maximum support Learning Outcomes Participants will be able to: Explain the importance and benefits of visitation Describe how visitation improves Safety, Permanency, and Well-Being outcomes State the elements of a quality visitation plan Cite the RCW and Policy that dictates visitation Define the three types of visitations Complete specific tasks in each phase of the visitation process Ensure successful visits between parents and their children Talking about Competencies Refer to the Prelearning field manual exercise debrief to discuss competencies. RCT Session 4.4 Visitation Materials and Preparation Flip Chart Projector Child and Family Visitation Presentation Handouts Sibling Visits & Contacts Cheat Sheet Ten Components of Quality Child Care Students have a link to the CA Visitation Plan form in the prelearning in Canvas (must have CA Intranet access to download the form) Session Flow Step Delivery Method Time 1 Visitation Pre-Learning Canvas Field Manual 30 Minutes 2 3 4 Child and Family Visitation Classroom 2 hours Page 2 of 28 RCT Session 4.4 Visitation Mandatory Information for Coaches Workers were required to review the Practice Guide for Social Workers (Visits Between Parents Children & Siblings) in preparation for this session. How frequently should visitation happen and what considerations should the social worker use in making this determination? Describe the different levels of supervision associated with a visit, and under what circumstances each would be used: How are visitations handled in your area? Are there services available to help with visitation and if so what services do they provide (i.e., therapeutic visitation, supervision, transportation)? Slide 2: Competencies Page 3 of 28 RCT Session 4.4 Visitation Slide 3: Learning outcomes Slide 4: What is the Purpose of Visitation? What is the definition of visitation? - Visitation is a planned, face-to-face contact between a child in out-of-home care and his/her parents/caregivers. What is the purpose of visitation? In short, visitations are important to maintain the child-parent attachment and interaction. Secure and stable attachments with a primary caregiver form the foundation for a child’s social, emotional, and cognitive development. Page 4 of 28 RCT Session 4.4 Visitation Slide 5: Guiding Principles Trainer’s Notes: Read through the guiding principles. Slide 6: For the Child, Visitation is Page 5 of 28 RCT Session 4.4 Visitation Slide 7: Visitation is Essential for a Child’s Well-being The primary purpose of visitation is to maintain the parent-child attachment, reduce a child’s sense of abandonment, and preserve their sense of belonging as part of a family and community. A child needs to see and have regular contact with their parent(s), as this relationship is the foundation of child development. Slide 8: Visitation is Fundamental to Permanency Page 6 of 28 RCT Session 4.4 Visitation Visitation is the heart of permanency planning It is a key strategy for reunifying families and achieving permanency Visits matter because continued contact with parents increases the probability that children will go home to their families Visitation facilitates permanency planning, promotes timely reunification, and helps in the decision-making process to establish alternative permanency plans. Visitation maintains and supports the parent-child relationship necessary for successful reunification. Slide 9: Visitation is Vital to Preserving Cultural Connections Maintaining family connections has life-long significance for a child. Visitation maintains their relationships with siblings and others who have a significant role in a child’s life. When a child loses family connections, they also lose family history, medical history and cultural information. Visitation is considered the heart of reunification, but even when reunification is not likely, parents, siblings and extended family continue to be important in children’s lives. Page 7 of 28 RCT Session 4.4 Visitation Slide 10: Visitation is a Legal Right for Children and Parents Slide 11: Benefits of Frequent Visitation Research has shown that these are some of the main benefits of frequent visits Research on parental visits with children in foster care reveals that foster children: Who were visited frequently (once a week or once every two ■■weeks) exhibited fewer behavioral problems than children who were visited infrequently (once a month or less), or not at all. Overall, children who had frequent contact with their parent(s) showed less anxiety and depression than children whose parents’ visits were either infrequent or nonexistent. (Cantos & Gries, 1997) Who saw their parent(s) less than once a month felt they ■■suffered as a result of not maintaining contact with their birth parent(s). (Kufeldt & Armstrong, 1995) Page 8 of 28 RCT Session 4.4 Visitation Who were visited frequently by their parent(s) were more ■■likely to have higher wellbeing ratings, and adjusted better to placement, were more likely to be discharged from placement, and experienced shorter placements. (Hess, 2003) Slide 12: Definition of Visits Supervised Visits Requires another assigned adult to maintain a presence during the visit Supervision shall be in line of sight and sound Safety is paramount Monitored Requires another assigned adult to oversee the visit periodically (15 to 20 minutes intervals) and be available for intervention if needed If the visit is monitored in the community, another assigned adult is required to remain the vicinity nearby and be available to intervene by cell phone if needed Monitored visits require a visit contractor to: o (a) Be ON SITE for the duration of the visit; o (b) Be within line of sight OR within hearing distance of the parent/child/sibling interaction at all times; o (c) Conduct periodic checks where they are able to both see and hear the parentchild interaction. Page 9 of 28 RCT Session 4.4 Visitation The visit service worker may sit outside the room (to hear) or sit at a distance away in a community setting to continuously observe the visit. They must be readily available for intervention as needed; and the contract must remain on the premises for the duration of the visit and be within eyesight or hearing distance of the parent, child, sibling interaction. Unsupervised The parent is the caregiver for the duration of the visit without oversight Unsupervised visits do not preclude unannounced drop in visits or requests for a visit itinerary by the GAL or CA social worker Other points: Plans for supervising visits should be individualized, ensure the child’s safety and wellbeing, and further the family’s objectives on the case plan. Assigned adults (relatives, providers, etc) that supervise visits should receive training on the child’s developmental needs, mentoring/coaching parents, and knowing when and how to intervene Slide 13: Legal and Policy Requirements Click hyperlink and refer students to RCW Page 10 of 28 RCT Session 4.4 Visitation Parent/child visits are the right of the family when visits are in the best interest of the child. Early, consistent, and frequent visits are crucial for maintaining parent-child relationships and make it possible for parents and children to safely reunify. Efforts must be made to hold a visit within 72 hours of placement. The initial parent/child visit must occur within 5 days of placement or signing of the VPA, unless there are documented safety concerns. Written visit plans must be developed within three (3) calendar days of placement, when a child is in CA custody via a court-ordered placement (licensed or unlicensed). Written visit plans must be developed at the time the Voluntary Placement Agreement (VPA) is signed when a child is placed on a VPA. Visits can only be limited or terminated when the child's, safety, health and welfare is compromised. The court must approve all changes to a visit plan if the child is dependent. Visits cannot be limited as a sanction for the parent's lack of compliance with court orders. Discontinue parent/child visits after parental rights are terminated or relinquished, unless otherwise specified in an open communication agreement. Court approval must be obtained to reassess visit plans when a psychosexual evaluation has been court ordered. Visit Plans Develop a written visit plan with the parent(s) and child input outlining the structure and logistics of visits. Visit plans will be in the best interests of the child including safety, permanency and well-being. Visit plans are maintained in FamLink with current contact information. Visit plans can be developed with the family at the shelter care hearing, Family Team Decision Making meeting, case conference, or other shared planning meeting. When applicable, request the participation of the: Tribal worker. CASA/GAL. Pre-approve visit location, duration and frequency of visits using the following criteria, except when a court order states otherwise: Least-restrictive, inclusive setting with consideration given to the culture and social patterns of the family. In the child's community whenever possible. A setting that is age appropriate and assures safety of the child(ren). In a Children's Administration office when necessary for the protection of the child(ren) or to allow for support before, during or after visits. Page 11 of 28 RCT Session 4.4 Visitation Determine who participates in visits by completing the following: Request a BCCU background check and CAMIS/FamLink check for any adult visit participants who will have unsupervised access to children (See Operations Manual Chapter 5000, sections 5515 and 5522). Follow policy and get supervisor approval before allowing contact between the child and perpetrator in serious physical and sexual abuse cases. (See P&P Section 2331) Verify all persons or contracted providers supervising, transporting, or monitoring visits, meet the following criteria: Approved Background Check Central Unit (BCCU) check (See Operations Manual, Chapter 5000, Section 5522 for list of disqualifying crimes) Approved CAMIS/FamLink check (See Operations Manual Chapter 5000, section 5515) Valid driver's license if transporting, and insurance on the vehicle used in transport. Transport vehicle must be licensed and have approved child restraints (car seat, lap and shoulder belt). Willing and able to intervene to keep the child safe. Able to prioritize the safety and well-being of the child. Willing and able to enforce visit rules, court orders, limitations and activities. Keeps all information confidential. Reports visit observations to the social worker (e.g. behaviors and interactions; concerns). Determine the level of supervision for parent/child visits based on the identified safety threats. Three levels of supervision are recognized by the courts: Supervised visits require another approved adult to maintain line of sight and sound supervision and intervene as needed. Monitored visits require another approved adult to periodically observe and intervene as needed. Unsupervised visits require the parent to be the primary care giver and able to demonstrate the willingness and ability to safely care for the child. Make an effort to consult with the assigned law enforcement officer before recommending changes to parent/child or child/sibling contact, when a parent or sibling is identified as a suspect in a violent crime. Consult with the AAG before disseminating any information shared by Law Enforcement during a visit consultation. Notify all participants as soon as possible when a visit must be rescheduled. Document in the Visit Plan the reasons for the level of supervision Page 12 of 28 RCT Session 4.4 Visitation Slide 14: Three Phases of Visitation Just read through the slide and go over each phase Slide 15: Initial Phase Now we are going to discuss what efforts go into the initial phase of visitation There are essentially three phases of visiting: initial phase, middle phase and transition phase. Different purposes are emphasized in each phase, but the primary purpose in all phases is to preserve and enhance family connections. The three phases can be used as a guideline to assess and develop visitation plans. Page 13 of 28 RCT Session 4.4 Visitation Slide 16: First Visit It is important for us to view visitation as a process Children should have visitation with their parents very soon after a placement Research states that by having visits beyond the first 48 hours begins to have a negative impact on the child Our policy states that we make every effort to schedule a visitation to occur within 72 hours of placement A visit must occur within the first 5 calendar days We do not need to wait until shelter care to set up visitations The Shelter Care standard is usually 2 hours a week as long as child safety is not a concern Slide 17 Contracted Visit Service Providers Read the slide Page 14 of 28 RCT Session 4.4 Visitation Many times you will be accessing a visit service provider to supervise or monitor the visits When a visit service provider has been contracted, they complete a parent-child visit assessment This assessment takes 2 hours for them to complete This assessment is completed at the first scheduled visitation This assessment determines how to make visits effective, which includes identifying the most appropriate visit supervisor, location, activities, etc This assessment will be provided to the assigned worker within 5 calendar days All contracted visit service providers have received training on this assessment Slide 18: Engaging Fathers It is during these initial phase that we ask, what relationships are important to maintain, or build through visits, to enhance the family’s capacity? This includes engaging fathers early and often Fathers have a significant impact on the lives of their children, and should receive equal consideration and involvement in visitation planning. Once the agency identifies the father and determines his role in the family, consider the following practices to increase father’s involvement in visitation: Make efforts to immediately identify and contact fathers when a child is placed. Discuss with both parents the importance of father’s involvement in their child’s life. This should be discussed with other members of the case (child, other relatives), even if the mother is resistant to paternal involvement. Page 15 of 28 RCT Session 4.4 Visitation Make face-to-face contact with fathers to discuss visits, inquire of any difficulties or questions they may have, and support the fact that they are providing care and nurturance to their children. (Something they may be doing for the first time.) Engage fathers in development of the out-of-home placement plan and visitation. Keep fathers equally informed about their child’s appointments and activities, which encourages them to be involved. Ensure that foster parents know about the father’s involvement, and know what their role is in keeping the father involved in visitation and other activities. Slide 19: Frequency of Visitation In this phase we want to assess how frequently the child needs parental contact to sustain the relationship Let’s review how a child’s age and development should be considered in visitation Page 16 of 28 RCT Session 4.4 Visitation Slide 20: Frequency of Visitation Very Young Children Infants and children to 3 years old need physical contact with parents or other primary caregivers. This is critical to ensure their future social, emotional and cognitive development. They benefit from daily visitation, at the very least: every two to three days. Visitation preserves and enhances attachment by involving parents in the daily care of the child that provides physical contact and play Foster parents may need additional training or support to understand the importance of this stage of development on the parent-child relationship School Age Children Need the availability of attachment figure(s) and are able to use language to help them cope with separation. Secure attachment relies on a child’s trust that their parent(s) are available, responsive and protective caregivers. School-age children can use the phone, e-mail, and utilize other forms of contact to communicate with their parent(s). This group benefits from face-to-face contact of two to three times a week. Youth Are more likely to feel resentful when visitation schedules are made for them, therefore, they need to be involved in the development of a visitation plan. This is an important coping strategy for them to maintain their school, social or community activities. Page 17 of 28 RCT Session 4.4 Visitation They will resent visitation plans being made that conflict with their other activities without their knowledge. A primary developmental task of adolescence is becoming an individual, the process of psychologically separating from family and finding their identity. Youth who have been removed from the parental home before they are emotionally prepared for separation complicates the developmental task. The frequency of visitation should be individually assessed, but considering adolescent development, they should have regular visitation and contact with parent(s), siblings and other important family members. For youth aging out of foster care, increased visitation with their family is key to determining which family members will be a supportive resource to them when they leave care. Siblings Need to be placed together from the first placement, unless there is a well-founded reason why placement together is not possible. If siblings are not together at initial placement, the social worker must work to reunite the siblings as soon as possible. If siblings are separated in placement, the social worker must ensure regular visitation is part of the visitation plan. Sibling Visits & Contacts Cheat Sheet Slide 21: Page 18 of 28 RCT Session 4.4 Visitation Supervised visitation is utilized to ensure a child’s physical and emotional safety during contact with a family member, and/or to strengthen the parent-child relationship and enhance parental skills Slide 22: Supervised Visits The necessity of supervised visitation is determined through a safety assessment that identifies concerns for a child if their parent(s) have unsupervised contact with their child. When the assessment of safety determines that supervised visitation is needed, the agency provides that information to the court. The court determines reasonable rules for supervised and unsupervised visitation. Page 19 of 28 RCT Session 4.4 Visitation Slide 23-25: Developing the Visitation Plan Social workers have the primary responsibility to ensure that the visitation plan is developed, implemented and revised as needed. A fixed visitation schedule is best practice and has been related to more frequent visitation and fewer missed visits. Page 20 of 28 RCT Session 4.4 Visitation A visitation plan: Honors a child’s existing bonds and attachments Includes father and mother, siblings, and other relatives or kin who are significant to a child Promotes the family’s individual strengths Provides continuity of family relationships Involves the parent(s), child, and foster family in the development and ongoing assessment of the plan Involves the family’s support system Arranges visitation in the most home-like setting that will maintain a child’s safety and existing attachments Connects a child’s safety to the level of supervision Considers a child’s daily schedule, and the parent(s)’ work and/or treatment obligations Ensures that visitation frequency and settings are consistent, and develop progressively towards a permanency goal Respects the family’s culture, faith and rituals Ensures that parent(s) assist in daily decision making, and participate in everyday activities as much as possible Increases contact and parents’ role toward reunification, or when a child cannot return to parents’ care, continues family relationships that preserves family and community connections Page 21 of 28 RCT Session 4.4 Visitation Slide 26: Working Towards Successful Visits Ask the group how they might prepare parents and children for visits What are some behaviors that parents should be aware of? (some answers are on the next slide) Another area to consider for successful visitation is the placement location If reunification is the permanency goal, then a child should be placed as close as possible to the parents’ area Traveling long distances can be a hardship for parents Young children may become cranky or exhibit other behaviors after a long car ride The visitation plan should be tailored to the unique needs and circumstances of each family The plan is more successful when co-developed and is based on a thorough assessment of child safety and family functioning This plan needs to be transparent and clearly state what is expected of the parents Family visits should take place in the most least restrictive and safe environment Page 22 of 28 RCT Session 4.4 Visitation Slide 27: Suggestions for Parents Answers for preparing the parent Slide 28: Location options Where can we have visits? For infants and young children, other visitation locations options include: The parent’s homes The home of a family member that can supervise, support, and model parenting skills A service provider’s office (especially if the parent is receiving parenting/family therapy Parenting classes that include the child A supervised visitation center Page 23 of 28 RCT Session 4.4 Visitation CA office Slide 29: Middle Phase During this phase, parents are working towards their case plan objectives Here, visits occur more frequently, longer periods of time, and in a variety of settings Slide 30: Assess the Visitation Plan Visitation activities provide a forum for parent(s) to demonstrate new skills, including modeling and building attachment Parents continue to learn and practice new behaviors and responses to child’s behaviors We continue to assess ways in which visitation activities change to reflect the family’s progress or needs Page 24 of 28 RCT Session 4.4 Visitation Assess the child and family’s reactions to visits thus far to determine the family’s potential for progress and reunification Determine if there is a need to revise the visitation plan, and social workers’ and foster parents’ role in the visitation process Here we want to consider: Do visits provide activities for parent(s) to care for and play with their child at the child’s level, promoting development? Have there been positive changes in child’s or parents’ behavior, and communication that promote healthy attachment? Do visits offer parent(s) the opportunity to enhance capacity to safely care for their children? Do visits offer parent(s) the opportunity to utilize their individual strengths to enhance the child/parent attachment? If a child has special needs, do visits offer parent(s) the opportunity to increase their understanding of their child’s needs? Do visits involve parent(s) in a child’s daily care, activities and special events? Are parent(s) involved in educational planning? Do visits involve parent(s) in the child’s homework and educational progress? Do visits include parent(s) in the child’s medical care? Do visits maintain a child’s relationships? Do visits maintain a child’s cultural connections Slide 31: Promotion of Safety, Permanency, and Well-Being Outcomes This phase facilitates progress toward safety, permanency and well-being goals Here we want to plan for the shift of parental responsibility back to the parent(s). Page 25 of 28 RCT Session 4.4 Visitation Slide 32: Assessment of Visitation To assess progress during visitation, we rely on numerous sources for information and we capture that in our assessment documentation One area for a source of information is from the person supervising the visit, which we contract out for Their role is important and somewhat scripted: o They ensure the safety of the children during the visit o Document the interaction between child and parent o Partner in working towards permanency o Not advocate for parent or child o Not a friend for the parent o Redirect to focus the parent’s time and energy with their children Documentation is essential when assessing visits Anyone observing a visit must carefully document the progress (or lack of) during visits, emphasizing the goals of the visitation plan, behaviors of and interactions between the parent and child, assessment of risk and safety and the parent’s protective capacities Here we are documenting specific behavior and NOT including opinions or judgmental statements What are some examples of judgmental statements? o Parent was rude o House was a pig sty o Parent did not have a clue about when to change diapers What are examples of behavioral specific statements? o Parent cursed when asked to change a diaper Page 26 of 28 RCT Session 4.4 Visitation o There were dog feces on the living room sofa and floor o Parent put the diaper on inside-out With all that said, it is the social worker that overall assesses the quality of all visitation This is based on personal observation, discussion with the parents/children, visit supervisor reports, etc. Slide 33: Third Phase of Visitation This phase focuses on smoothing the transition from placement to home Slide 34: Transition Phase Now the decision has been made to reunify We ensure that: Page 27 of 28 RCT Session 4.4 Visitation Structure visits to ensure planned reunification On-going assessments of the family relationship to support a stable reunification Structure visits to identify and address remaining stress points in the relationship Structure visits so that upon evaluation, it is clear to both the worker and the family that reunification is definite When transitioning back to home we: Assess safety needs and develop a plan to reduce risk and likelihood of re-entry into foster care. Ensure that the parents and foster parents are sharing significant information about the child’s individual medical and mental health needs Slide 35: Things to Remember Visits can be complex. Everyone involved in the visit has different goals, agendas, expectations and needs. Social workers must understand and manage each of these while keeping the focus on the children and their permanency. Page 28 of 28