Integrated Safety-Organized Practice Module One: Interviewing for Safety and Danger Children’s Research Center A nonprofit social research organization and division of the National Council on Crime and Delinquency www.nccdglobal.org 1 www.nccd-crc.org Agreements We will be meeting over the next 12 months How can we make these module trainings work best for you? 2 Agreements • “Try on.” • Everyone always has the right to pass. • Know that silence is a contribution. • We agree to share airtime and stick to time limits. • We agree to speak personally, for ourselves as individuals. • We agree to disagree and avoid making assumptions or generalities. • We agree to allow others to finish speaking before we speak and avoid interrupting and side conversations. • We will work together to hold to these agreements and authorize the trainer to hold us to them. 3 Background for the Development of Safety-Organized Practice in San Diego County 4 Our Thinking Draws From the Legacy of Others Insoo Kim Berg Steve de Shazer Rob Sawyer Sue Lohrbach Andrew Turnell Susie Essex Steve Edwards Sonja Parker Nicki Weld Carver County …and we hope YOU will continue to build on these ideas and approaches. CRC Staff John Vogel Sophia Chin Heather Meitner 5 The SDM System San Diego County’s SafetyOrganized Practice SofS Trauma-informed Lens 6 Safety-Organized Practice Safety is: Actions of protection taken by the caregiver that mitigate the danger demonstrated over time. Adapted from Boffa, J., & Podesta, H. (2004) Partnership and risk assessment in child protection practice, Protecting Children, 19(2): 36–48. Turnell, Andrew & Susie Essex Working with Denied Child Abuse, Open University Press, 2006. 7 Looking for Signs of Danger and Safety Her father: physically abusive, dangerous Foster care Past D V D E P R E S S I O N O F F Suicide attempt by gas in the kitchen while the children were home M E D S Poverty Present Future 8 Looking for Signs of Danger and Safety ???? Past Present Future •What will Cheryl’s future likely look like? • What do we know about danger? •What do we know about safety? 9 Looking for Signs of Danger and Safety Suicide attempt by gas in the kitchen while the children were home Past Present Future “I took the girls and put them in the next room.” 10 Looking for Signs of Danger and Safety Present Past “My mom gave custody of me to my aunt.” “My mom and aunt made sure I got an education.” L E F T H U S B Approp. care of girls w/ school, MD, therapy “I took the girls and put them in the next room.” Future “I’m getting up at 4 a.m. to meet them and get them off to school.” 11 Looking for Signs of Danger and Safety What will Cheryl’s future likely look like? What do we know about safety? What do we know about danger? Past Present Future ???? 12 “Naïve” Practice Past Present Future 13 “Problem-Saturated” Practice Past Present Future 14 “Naïve” Practice Past Present Future 15 A Full Assessment Past Present Future 16 Safety-Organized Practice Safety is: Actions of protection taken by the caregiver that directly mitigate the danger, demonstrated over time. Adapted from Boffa, J., & Podesta, H. (2004) Partnership and risk assessment in child protection practice, Protecting Children, 19(2): 36–48. Turnell, Andrew & Susie Essex Working with Denied Child Abuse, Open University Press, 2006. 17 Basic Terms: What are the Worries? Harm Danger • Past actions by the caregiver that have hurt the children physically, developmentally, or emotionally • Detailed current or future worries of harm • Imminent threat of serious harm • Based on recent past or current threat of harm Complicating Factors • Anything that further complicates the case • Often conditions that are worrisome, concerning, but not to level of harm • May include risk, needs 18 Basic Terms: What Is Working Well? Strengths • Skills of living, nurturing, or support that are important but do not directly address the harm/danger Acts of Protection • Demonstrated actions that could mitigate the danger (Some SDM protective capacities could apply here) Safety • Acts of protection, taken by the caregiver, that mitigate the danger, demonstrated over time 19 PRACTICE Think of a family you work with that has a child in care or has a safety plan. What is the DANGER/ safety threat? 20 PRACTICE Think of a family you work with that has a child in care or has a safety plan. What is the DANGER OR SAFETY THREAT? What is working well for this family? 21 PRACTICE DISTINGUISH Think of a family you work with that has a child in care or has a safety plan. What is the DANGER or SAFETY THREAT? Are these “acts of protection” What is working well? (SAFETY) or good skills and qualities but not actions that directly address the danger (STRENGTHS) 22 PRACTICE Are SAFETY and SERVICES the same thing? 23 Three Questions that Organize THE INTERVIEW What are we worried about? What is working well? What needs to happen next? 24 Safety-Organized Practice: Values and Principles 25 Values and Principles: Working With Families • Every family deserves our respect.* • Cooperate with the person, not the abuse.* • Cooperation is possible even when coercion is required.* • All families have acts of protection.* • Families deserve a process and assessments that are reliable, valid, and equitable. • Traumatic experiences affect families and should inform how we work with them to build safety. *Turnell, A. and Edwards, S. (1999). Signs of Safety. New York: Norton 26 Values and Principles: Interviewing • Safety is the focus.* • Know at which key decision point you are. • Focus on information needed for that decision. • Search for detail and clarity, rather than using jargon. • Inquiry is an intervention. (Inquiry IS interviewing for safety as well as worries.)* • Be aware of how inquiry may trigger trauma symptoms. *Turnell, A. and Edwards, S. (1999). Signs of Safety. New York: Norton 27 Values and Principles: Decisions • Decision making is shared with the family whenever possible. • Decisions are informed by assessment recommendations. • Overrides are appropriate when needed, and reasons should be clearly articulated. • Sometimes the decisions will add to the child and family’s trauma. • We have a responsibility to reduce the trauma we cause as much as possible and help to heal what cannot be prevented. 28 Values and Principles: Planning • Learn what all members of the family want to see happen.* • Focus on imminent danger (immediate safety plan) and priority needs (ongoing safety plan). • Focus on creating small change.* • The goal is behavioral change, not plan compliance. • The means is action, not services. • Plan to respond to any identified trauma. *Turnell, A. & Edwards, S. (1999). Signs of Safety. New York: Norton 29 Values and Principles: Worker Disciplines • Rigorous search for relevant details.* • Using words everyone can understand. • Describe in terms of behaviors, not judgments or jargon.* • Skillful use of authority.* • Responsive, not reactive, to trauma symptoms. *Turnell, A. & Edwards, S. (1999). Signs of Safety. New York: Norton 30 Signs of Safety Practice Element #2 Signs of Safety Practice Principle #5 Find the Exceptions to the Maltreatment Maintain a Focus on Safety e th er r e at m o e r e e e g th th ill Th tail, b le n w s. d e alu a atio r tie v rm pa o ll in f to a be The focus of child protective work is ALWAYS to increase safety. Finding except ions t o t he abuse creat es hope f or t he f amily and f or t he social worker. “You said earlier that it’s not always like this. Can you tell me more about the other times?” “When was the last time this problem happened? How have you managed to avoid it since then?” The heart of the Signs of Safety approach is a focus on goals. Namely, what does the agency need to see to close the case? And what are the family’s ideas and ways of creating safety? “Have you been in this situation before? What did you do that helped?” Where no exception exists, the worker may be alerted to a more serious problem. p. 58 - 61 Can you tell me about times when this parent has responded appropriately in keeping the child safe? What did she do? Exception Q uestions are instrumental in discovering the presence of safe and constructive behaviors. Presence vs. Absence p. 38 It’ s difficult to create change by telling someone to stop something. It’ s usually more productive to help people start something. Have a parent start locking a gate, or describe how they are going to protect their child from sexual abuse. I f you f ocus on where you are t rying t o go, it is much more likely t hat you will get t here, AND recognize t hat you have arrived. Signs of Safety Practice Principle # 4 Recognize that All Families Have Signs of Safety strengths resources own way of solving problems own goals ly rare are ll of a dren Chil ltreated e ma he tim t Signs of Safety provides a balance to the problems and dangers. It provides many clues for developing a cooperative relationship with the family. Looking for signs of safety also helps to create a specific plan and intervention. abuse neglect safety threats risk factors family a one- sided f ocus convert s a whole person int o a problem p. 36 - 37 *Turnell, A. and Edwards, S. (1999). Signs of Safety. New York: Norton 31 A Word About What Is Coming 32 Before and After: What You Do Current Practice Interview children Interview parents Interview collaterals Make decisions about whether a child is safe in home Build case plans Monitor case plans Make decisions about when to return a child home Make decisions about when to close case 33 Before and After: What You Do Current Practice New Approach Interview children Interview children Interview parents Interview parents Interview collaterals Interview collaterals Make decisions about whether a child is safe in home Make decisions about whether a child is safe in home Build case plans Build case plans Monitor case plans Monitor case plans Make decisions about when to return a child home Make decisions about when to return a child home Make decisions about when to close case Make decisions about when to close case 34 What Is Different? The tools available The way the process is organized Trauma lens High emphasis on child, family, and community participation in all aspects of the work 35 Before and After: What You Document Current Practice Case notes Assessments Plans Court reports 36 Before and After: What You Document Current Practice New Approach Case notes Case notes Assessments Assessments Plans Plans Court reports Court reports 37 What Is Different? The tools available The way the process is organized Trauma lens High emphasis on child, family, and community participation in all aspects of the work 38 Hoped-for Outcomes of the New Approach Increased engagement Increased teamwork Increased accuracy & child safety Increased consistency Increased satisfaction 39 Is the New Approach More Work? • Learning phase • We will have a learning curve • BUT it is just a small bite at a time 40 What Will Happen Next? • Three-hour trainings • Opportunity to practice in training Monthly module training PRACTICE! • Coaching • Reflection • What works? • What doesn’t? • Come back and talk as a group – what are we learning? Next monthly module training 41 42 Integrated Safety-Organized Practice Training Series 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Interviewing for Safety and Danger Three Questions to Organize Your Practice Small Voices, Big Impact: Keeping Children at the Center of the Work Solution-focused Inquiry Introduction to Mapping Harm Statements, Danger Statements and Safety Goals Mapping With Families Safety Networks Safety Planning Landing Safety-Organized Practice Model in Everyday Work Organizational Environments: Reflection, Appreciation, and Ongoing Learning 12. Summary and Looking to the Future 43 Adopt at Your Own Pace Adopt At Your Own Pace 44 45 References Boffa, J., & Armitage, E. (1999). The Victorian Risk Framework: Developing a Professional Judgment Approach To Risk Assessment In Child Protection Work, 7th Australian Conference on Child Abuse And Neglect, Perth, W.A. Children’s Research Center (2008). Structured Decision Making®: An Evidence-Based Approach to Human Services. Retrieve from http://www.nccd-crc.org/crc/pdf/2008_sdm_book.pdf Department of Child Protection. (2011). The Signs of Safety Child Protection Practice Framework. Department of Child Protection, Perth. Retrieved from http://www.signsofsafety.net/westernaustralia Johnson, W. (2004). Effectiveness of California’s child welfare Structured Decision Making® model: A prospective study of the validity of the California family risk assessment. Sacramento, CA: California Department of Social Services. Retrieved form http://www.nccd-crc.org/crc/pubs/ca_sdm_model_feb04.pdf Lohrbach, S., & Sawyer, R. (2004). Creating a constructive practice: family and professional partnership in high-risk child protection case conferences, Protecting Children, 19(2): 26–35. Turnell, A., & Edwards, S. (1999). Signs of Safety. New York: Norton. White, M., & Epston, E. (1999). Narrative Means to Therapeutic Ends. New York: Norton. 46