Signs of Safety 2 Day Training Programme • Best Hopes/Objectives • The ‘Signs of Safety Assessment & Planning Framework’ • A Little History: the creation & evolution of the approach • An Interactive Demonstration of the Framework • Practicing ‘Mapping’ in groups of 3 • ‘Safety Planning’ in brief • Involving Children with ‘The Three Houses’ & the ‘Safety House’ • Using the ‘Words & Pictures Explanations’ Best Hopes • Provide a comprehensive introduction to the thinking and practice skills of the Signs of Safety approach to child protection work so that you can immediately begin to use it in your own practice (including supervisors). Best Hopes Equip participants to use the Signs of Safety risk assessment protocol collaboratively with families and other professionals in Child Protection Conferences and elsewhere Ground all the training in actual case material including local cases – via a live ‘mapping’ demonstration & group work. Best Hopes Introduce the tools for involving children and young people in child protection assessment and planning. Share solution-focused, safety-organised interviewing and questioning skills to use with parents, children & professionals. Best Hopes • Provide a brief introduction to methods for building rigorous, sustainable safety plans with the family that address the child protection concerns. Reading About Signs of Safety • Signs of Safety 1999, Andrew Turnell & Steve Edwards, WW Norton, New York • Signs of Safety Comprehensive Briefing Paper, 2012, Andrew Turnell, Resolutions Consultancy • Working with Denied Child Abuse – The Resolutions Approach 2006, Andrew Turnell & Susie Essex,Open University Press, Buckingham Experiencing The Framework Thinking about a child/teenager in your life that you feel a worried about: What are you Worried About? What’s Working Well? STEP ONE: START HERE, BACK AND FORWARDS What has happened, what have What do you like about ___ what you seen, that makes you are his/her best attributes? worried about this Who are the people that care child/teenager? most about ___? What are the What words would use to talk about this problem so that ____ best things about how they care for ____? would understand what you’re worried about? What would ___ say are the best things about his/her life? When you think about what has already happened to ____ what Who would ___ say are the most important people in his/her life? do you think is the worst thing How do they help ___ grow up that could happen to ____ well? because of this problem? HARM Existing Strengths DANGER Existing Safety What Needs to Happen? STEP THREE Having thought more about this problem now, what would you need to see that would make you satisfied the situation is at a 10? FUTURE SAFETY What would ___ need to see that would make them say this problem is completely sorted out? What do you think is the next step that should happen to get this worry sorted out? Next Steps Complicatin g Factors On a scale of 0 to 10 where 10 means this problem is sorted out as much as it can be and zero means things Are their things happening in ____’s life or family that make this problem harder to deal with? Has there been times when this problem has been dealt with or was even a little better? How did that happen? Animations Off are so bad for the young person you need to get professional or other outside help, where do you rate this situation today? (Put different judgment numbers on scale for different people e.g., you, child, teacher etc). 0 STEP TWO: JUDGEMENT 10 Signs of Safety Assessment and Planning Form What are we Worried About? Past Harm to Children Whats Working Well? Existing Strengths Action/Behaviour – who, what, where, when; Severity; Incidence & Impact What Needs to Happen? SafetyGoals: Future Safety/Protection What must the caregivers be doing in their care of the child that addresses the future danger? Existing Safety/Protection Danger Statements: Future Danger for Children The Strengths demonstrated as protection over time. Worries for the future if nothing changes. Must directly relate to danger. Family Goals: What does the family want generally and in relation to safety? Complicating Factors Factors which make the situation more difficult to resolve. Next Steps What are the next steps to be taken to move towards achieving the goal? Safety Scale : On a scale of 0 to 10 where 10 means everyone knows the children are safe enough for the child protection authorities to close the case and zero means things are so bad for the children they can’t live at home, where do we rate this situation? (If different judgements place different people’s number on the continuum). 0 10 What is the Signs of Safety Approach? Constructed around a comprehensive risk assessment framework that involves everyone in the assessment (families and professionals) and that incorporates harm, danger, complicating factors, strengths and safety. Involves building relationships with all stakeholders that are focused on safety for children. A Questioning not an expert approach Signsof Safety Assessment and PlanningForm What areweWorried About? Past Harm to Children What’s Working Well? Existing Strengths Action/ Behaviour – who, what, where, when; Severity; Incidence& Impact What Needs to Happen? FutureSafety/ Protection What must thecaregivers bedoingin their careof thechild that addresses thefuturedanger? What does thefamily want FutureDanger for Children Worries for thefutureis nothing changes. Existing Safety/ Protection generally and in relation tosafety? TheStrengths demonstrated as protection over time. Informed by Core & Practice Principles and Practice Elements From research and from what workers and families say is good practice! Must directly relateto danger. Complicating Factors Practiced from a Stance of Humility about what we think we know Factors which makethesituation moredifficult to resolve. Next Steps What arethenext steps to betaken to movetowards achievingthegoal? Safety Scale: On a scaleof 0 to10 where10 meanseveryoneknowsthechildren aresafeenough for thechild protection authoritiestoclosethecaseand zeromeansthingsaresobad for thechildren they can’t liveat home, wheredo weratethis situation? (If different judgements placedifferent people’s number on thecontinuum). 0 10 Supported by a Skill Base SFBT questioning Safety Planning Engaging Children Skillful Use of Authority Focused above all on BUILDING ENOUGH SAFETY to close the case. Good Performance - Human Needs Empowerment Initiative Choice Frustration Resentment High morale Motivators Respect & Appreciation Confidence Enthusiasm Communication & Clear objectives Low morale Absenteism Anxiety Confusion Adapted from Human Needs at Work, University of Nottingham Partnership in practice – the social discipline window (Wachtel & McCold) Control (limit-setting, discipline) High Low TO WITH Punitive Restorative Neglectful NOT Permissive FOR Support (encouragement, nurture) High A little History • Andrew Turnell & Steve Edwards Collaboration 1993. • Interested in how SFBT fitted with Child Protection Work. • 150 Practitioners A Little History • What they did was created safety through partnership & collaboration: • • • Partnerships with parents/carers; Collaboration between agencies/professionals; & Worked with practitioners to develop the model A Little History • What the practitioners asked for: Capture & balance the concerns and strengths so as to make judgements on balanced information. Doesn’t just tell us what we already know but provides guidance about what to do about the problem. A Little History • The team leaders & managers wanted an approach that: would increase the confidence of CP workers in their own practice; Would help workers get unstuck in difficult and protracted cases; and Minimal paperwork. 18 A Little History • “If workers use the ideas they are in the model. • If workers don't, they’re in the bin!” • Steve Edwards What makes a difference? The most important factor in making a difference in the lives of vulnerable children in open child protection cases is relationships Realtionships between family and professionals (partnership) and relationships between professionals themselves (collaboration) Review of what works in family support interventions % of Variance in Outcome Explained 15% 30% 15% Therapeutic Technique Client Hopefulness Client Characteristics & Social Support Relationship between client and therapist 40% WHY? (Dublin, 2000) Kieran McKeowan Summary of the Tool •It is a QUESTIONING approach •Keeps the child at the centre – Impact •Designed to be used with young people and their families •Highlights what is already working well Practice Principles • Respect service users as people worth doing business with • Cooperate with the person, not the abuse • Recognise that cooperation is possible even where coercion is required • Recognise that all families have signs of safety • Maintain a focus on safety • Learn what the service user wants Practice Principles • • • • • Always search for detail Focus on creating small change Don’t confuse case details with judgments Offer choices Treat the interview as a forum for change Exercise • • What do you like about what you have heard? What worries / questions do you have? Demonstrating the Framework • Family map • 3 – 4 free description ‘Why are Children’s Services involved?’ or ‘What are your main concerns or the things you most worried about?’ • Worker’s goal What’s Working Well? Demonstrating the Framework • Based on the initial background information you have just heard, develop questions you could ask the worker if you were facilitating the process to capture information for the What’s Working Well? column i.e. Strengths that might translate into Safety or Existing Safety What Are We Worried About? • Past Harm – Clear & specific statements of harm that • • has occurred to any children in the care of the parents/caregivers. When there has been an extensive history of abuse, focus on mapping First, Worst & Last incidents alongside a description of Frequency e.g. how many times a week / month would the harm typically happen? Danger Statements – Who is worried about whose behaviour towards whom in the future based on the past harm and /or Complicating Factors and what is the likely impact on the child. Complicating Factors – What are the factors/ issues/ things that make this situation more complicated both for the family and the professionals. Complicating Factors Typically Include… • Poverty • Addiction • Issues of Mental Health • Disability • Isolation • Disputes between family members and professionals • Fear & misunderstanding between people of different cultures • Oppressive use of professional authority • Too many professionals involved • Professionals not working together Demonstrating the Framework • Develop as many questions as you can think of to get the harm and complicating factors articulated simply and clearly including details on: • Action / Behaviour • Severity • Incidence • Impact Demonstrating the Framework • Thinking about the information gathered in the ‘What are We Worried About?’ column develop a possible ‘Danger Statement’, i.e. a statement about your worries for the future for the child if nothing changes based on the ‘Past Harm’ and the ‘Complicating Factors’ (where relevant) Danger Statements 1. What are you worried will happen to these children if nothing changes? 2. Need to be based on (the evidence of) past harm and complicating factors, not on catastrophic thinking 3. Danger statements need to be in simple straightforward language that make sense to the family without minimising the seriousness 4. Can draw on professional expertise and knowledge e.g. research • Danger Statement Examples • Rob will almost certainly carry on feeling he is no good, not wanted, sad, scared and angry because step-dad Shabs and brother Lyle are telling him so every day. Danger Statement Examples • There is a good chance that Rob will get into crime or drink; as likely as not he will get permanently excluded from school Danger Statement Examples • Rob will get hit again a lot by Lyle and probably will get injured. Judgement 1.On a scale of 0 – 10, rate the situation where 10 = there is sufficient safety to close the case and 0 = things are so serious the children need to be removed immediately 2.Look at this from a number of different perspectives 3.You may ask further questions based on the rating 4.Consider whether the danger statement needs to be changed? Danger Statements: Safety Goals: Safety Goals Safety Goals Examples • Rob will almost certainly carry on feeling he is no good, not wanted, sad, scared and angry because step-dad Shabs and brother Lyle are telling him so every day. • Those visiting will see Shabs and Gaynor both being fair, firm but kind to Rob, speaking respectfully to him and protecting him from verbal abuse Safety Goals Examples There is a good chance that Rob will get into crime or drink; as likely as not he will get permanently excluded from school Rob will be happier and less inclined to steal or drink and Gaynor and Shabs will praise and reward him for this Because he feels better about himself, Rob will want to do and behave better in school – school will see improvement Safety Goals Examples • Rob will get hit again a lot by Lyle and probably will get injured. • Rob will be kept safe by Gaynor and Shabs from being hit and criticised by Lyle – they will be able to describe their plan for this and how it is working and Rob will say he feels safer Safety Goals Exercise – Groups of 3 Signs of Safety Assessment and Planning Form What are we Worried About? Harm Whats Working Well? Strengths What Needs to Happen? SafetyGoals Danger Statements Family Goals Complicating Factors Next Steps Safety Safety Scale : On a scale of 0 to 10 where 10 means everyone knows the children are safe enough for the child protection authorities to close the case and zero means things are so bad for the children they can’t live at home, where do we rate this situation? (If different judgements place different people’s number on the continuum). 0 10 Mapping Process Using The 3 Columns Getting Started • The Facilitator (who scribes) starts the process by asking the worker for: 1. Information to construct a genogram 2. A 3 – 4 minute free description ‘What are you main concerns or the things you are most worried about right now?’ 3. Worker’s Goal (at this stage)? 4. Start asking questions to elicit information for the ‘What’s Working Well?’ column • (NB: Advisor/Observer take note of good questions) • • • • • • • • • • • Ask for information to complete a genogram Get a 3 – 4 minute free description of the key worries in the case Ask for the worker’s goal for the exercise Begin asking questions to elicit ‘What’s working well? – Elicit and Amplify Then ask questions to elicit ‘What are we Worried about?’ – Elicit and Amplify to get behaviour, severity, incidence and impact Ask questions to help the worker develop danger statement – reflect on meaning of harm and complicating factors Ask one or more scaling questions about the levels of danger; ask from different perspectives Revisit the danger statement to see if it needs to be amended; ask more questions to elicit worries if necessary Ask questions to help the worker develop safety goals Ask questions to elicit next steps Revisit and scale the worker’s goal Process Review Exercise • Practitioners – what was most helpful? Observers: What worked best? What were the best questions? Facilitators: Which sections of the mapping flowed best? What did you struggle with? Introduction to Safety Planning • Developed from Danger Statements; parent led journey to Safety Goals How, in our house / our family’s life, is next week going to be different from last week? Comprised of decisions and ‘rules’ supported by extended family and friends, services and professionals Danger Statements: Safety Goals: Resource Planning vs Safety Planning Resource Plans Agreed at CP conferences Led by Safety Goals Specialist services Visiting and monitoring arrangements Additional assessments Contingencies Reviewed every 3 – 6 months Safety Plans Agreed by keyworker and family after conference Led by Risk Statement(s) Detail of how daily life will be different Build on exceptions and ideas developed with family Reviewed every week or two Take 3 or 4 months to ‘bed in’ Case Example • • • • • 14 month old Jack – severe health needs Separated parents in their early 20s Mum Sharon has a mild learning disability Father Gary been in prison for assaulting Sharon Parents minimising impact on Jack of being exposed to fighting • Sharon not providing the medicines and care needed and removed Jack from hospital x 3 against medical advice Resources • • • • • • • Case in Court Couples counselling Individual counselling Separate parenting classes Regular involvement with community health nurse Little co-ordination or coherence between services Parents engaging but no clarity about what needed to be achieved for Jack to stay with parents Danger Statement 1 • “The County and the Guardian are worried that Jack could be physically and emotionally hurt when Gary and Sharon get into arguments and fights and they become so wrapped up in the argument they forget to pay attention to Jack.” Building on Strengths Gary had tried to walk away on occasions when he felt an argument was getting out of control Sharon would follow him when he did this and continue the argument Sharon worked with her counselor on avoiding escalation and not following Gary Concrete Actions Written signed plan which said that Gary would always walk away from fights when they began to escalate and that Sharon would not follow him Gary agreed to keep a diary of times when he and Sharon began to argue and he walked away Confirmed by each parent independently to their counsellor and observed and reported by family members and professionals Danger Statement 2 • “The County and the Guardian are worried that Jack’s illnesses may get worse when Sharon does not follow medical recommendations.” Collaborating on Safety Social worker brought Sharon and the community health nurse together to ‘concretize’ the concerns Sharon agreed to keep a log of every medical intervention she made with Jack Sharon and the nurse reviewed the log together each week Nurse prepared a series of cards with simple directions to cue Sharon in different medical situations (e.g. asthma attack, coughing, vomiting) Children’s Tools Children’s Tools • For Listening… • The Three Houses – Nikki Weld & Maggie Greening • The Wizard and Fairy – Vania de Paz • The Safety House – Sonja Parker – For Telling… • The Words and Pictures – Susie Essex Words & Pictures 1.A storyboard (words and pictures) for children to help them understand events that are difficult for adults around them to talk about 2.Parents and worker develop the words together using the family’s own words. 3. Primarily used to explain worries, concerns and difficult situations to younger children 4. Also used as part of a safety planning process Exercise – in Pairs • In pairs:• Why is it important for children to know the truth / is it important for children to know the truth? How well are you doing in your Agency? • To what extent do children have the best possible understanding where:• 0 = involved with our service have little understanding of their situation • 10 = children involved with our service always have a good understanding of their situation Practice Example Jennifer Levitt - Wandsworth Practice Example 65 Practice Example 66 Practice Example 67 Practice Example 68 Practice Example 69 Practice Example 70 Practice Example 71 Practice Example 72 Practice Example 73 Practice Example 74 Practice Example 75 Practice Example 76 Practice Example 77 Practice Example 78 Practice Example 79 Exercise – Words & Pictures • In pairs talk about: • What do you think will be the benefits to the child in the future as a result of this work? Follow-on Exercise In pairs: Thinking of the children on your caseload today – which of these do you think it could be useful to use this tool with? Exercise – in Pairs 1. Why is it important for children to be heard? 2. Think about a time in your childhood when you were listened to by an adult and a time when you were just paid lip service to – what was the difference? 3. What is the importance of the child’s voice in Safeguarding work Poppy’s House of Good Things 84 Poppy’s House of Worries 85 Poppy’s House of Dreams 86 3 Houses - Process 88 89 The Safety House Created by Sonja Parker www.aspirationsconsultancy.c om Rules of my safety house People who live in my safety house What we do in my safety house People who come to visit my safety house People I don’t feel safe with Path to my safety house Safety House Safety House Follow on Exercise In pairs: Thinking of the children on your caseload today – which of these do you think it could be useful to use these tools with? Which tools would you use and why? The End • THANK YOU – SAFE HOME! • damiangriffiths898@gmail.com