Integrated Safety-Organized Practice Module Four: Solution-focused Inquiry Children’s Research Center A nonprofit social research organization and division of the National Council on Crime and Delinquency 1 www.nccdglobal.org www.nccd-crc.org Module Subject 1 Interviewing for Safety and Danger 2 Three Questions to Organize Your Practice 3 Small Voices, Big Impact: Keeping Children at the Center of the Work 4 Solution-focused Inquiry 5 Introduction to Mapping 6 Harm Statements, Danger Statements, and Safety Goals 7 Mapping With Families 8 Safety Networks 9 Safety Planning 10 Landing Safety-Organized Practice in Everyday Work 11 Organizational Environments: Reflection, Appreciation, and Ongoing Learning 12 Summary and Looking to the Future 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 Our Thinking Draws From the Legacy of Others Insoo Kim Berg Steve de Shazer Rob Sawyer Sue Lohrbach Andrew Turnell Susie Essex Steve Edwards Nicki Weld Sonja Parker Carver County …and we hope YOU will continue to build on these ideas and approaches. CRC Staff John Vogel Sophia Chin Heather Meitner 4 Essential Question Are the children safe? What are the Worries? SFQ’s Impact Detail Position Sort SDM What’s Working Well? What Happens Next? SFQ’s Impact Detail Position Sort SDM SFQ’s Impact Detail Position Sort SDM 5 Safety Definition 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 and Susie Essex Working with Denied Child Abuse, Open University Press, 2006. 6 Trauma Lens • The impact of abuse and/or neglect on a child can be traumatic. • Many parents with whom we work have been impacted by childhood trauma. • A parent’s response to past trauma can actually lead to repeating trauma patterns in their children. What are some of the ways you talk about the impact of trauma in your work with children and families? 7 Let’s Review and Reflect! What have you tried from the module last month? What worked well? What were your challenges? How did you handle those challenges? 8 What is Solution-focused Inquiry? 9 What is Solution-focused Inquiry? A practice of using questions and having conversations that strengthen an individual or family’s capacity to achieve their own best judgment in difficult times by surfacing and making visible: •People’s past and present capacities (how they survived trauma); •Achievements, assets, unexplored potentials; •Innovations, strengths, high-point moments; •Values, traditions, stories; •Expressions of wisdom; and •Visions of valued and possible futures. 10 Check In In small groups with someone who has tried some of these practices before: Can you talk about a time you tried to use a solution-focused practice of some kind? About that time: •What worked well that you appreciated, felt was effective, would want others to know? •What was hard, confusing, not effective, that you would not want others to repeat? •What, if anything, do you wish you could better understand about solution-focused practice? 11 Why Solution-focused Inquiry? Single biggest predictor of positive outcomes in child welfare? • Good working relationships between the worker, the family and the other helping professionals. Farmer & Owen, 1995 12 Solution-focused Questions are Your Tools! 13 Why Solution-focused Inquiry? Two Conversations 14 Five Types of Solution-focused Questions Exception Questions Scaling Questions • Past history of protection • Sharing judgment, steps to change Coping Questions Preferred Future Questions • Solutions even in the face of difficulty • A vision for what could be Position Questions 15 Recipe for Power Struggles Hurtful comment or action Assumption of malicious intent Collection of evidence Determination to be “right” 16 Questions in Solution-focused Inquiry • Are an intervention (strategic!) and are never neutral in their effects; • Generate an experience for the person being asked; • Can provide new understanding for the person being asked, as well as the inquirer; • Can help people recognize exceptions, solutions and useful moments from their own history they might have otherwise disregarded; • Can create space for critical reflection with minimal blame and shame; and • Require skill, rigor, and practice. 17 How is This Different? Two categories of questions: 1. Straight data-gathering questions Both are good! 2. Solution-focused questions • We are trying to expand our practice to include both on a regular basis so we stay in a place of INQUIRY rather than EXPERT. • Over-used, data-gathering questions will feel like too much QUESTIONING. • Over-used, solution-focused questions can feel too DIFFERENT. 18 Solution-focused Question Tip: Think of what you want to know more about or are hoping to help your client do. Think of a solution-focused category that might help: example “Preferred Future” Practice! Sometimes you have to reword it a few times until it lands. Don’t be afraid to get tongue-tied the first few times! 19 Exception Questions 20 Classic Exception Question “Can you tell me about a time X (the problem) could have happened, maybe almost happened, but somehow, some way, you were able to do something else instead?” 21 Exception Questions: Basic Assumptions • Cornerstone of Solution-focused Inquiry; • No problem is absolute in its effects—there are always “signs of safety;” • Seeks to find times when the problem could have done what it always does, but did not; • Gives us a place to begin to look for safety, strengths, resources and alternative actions; • People who know they have been able to change in the past are more likely to be able to do it again; and • Helps family members realize we are not only interested in the problems or failures of their lives, but also how they could repeat their successes. 22 Listen for the Empty Spaces Really look for them. No problem is ever complete in its effects. 23 Listen for the Empty Spaces 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 24 Listen for the Empty Spaces 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 What is the history of protection? 25 Eliciting Exceptions 1 2 Try asking an exception question three different ways before you decide there is no answer. Persistence is important— exceptions are often hidden, neglected or minimized. 3 26 With Whom Can You Use Exception Questions? …especially the children! 27 Exceptions and the SDM® system 28 Get Details He was “appropriate” on the visit Jargon and generalities What exactly did he do well? What else? Behavioral details SDM definitions and “impact on the child” What difference did it make to the child? Would it meet the SDM definitions? 29 Quick Practice Case is Closed (child goes home) Case Opens (child comes into care) Case Opens Again (child returns) 30 Quick Practice Sober four months Drunk every night for years Sober again two weeks Drunk again for a month 31 “You said that John’s lying (problem) had been happening all the time, but then last week there was one moment when it did not happen. He could have lied and didn’t. Can you tell me more about that?” 32 “You said that even though Jack’s drinking (problem) had been going on for some time, you still were able to hold onto some hope that things could be better. Is that right?” 33 “I understand that Linda’s running away has been happening a lot, and I do want to hear about it. Can I ask though – has there ever been a time when Linda could have bolted but somehow she managed to stay?” 34 “What would be good for me to know about you as a family/parent that might be hard for me to see if I were only to talk about X?” “If you were to believe that the [reported danger] was a problem, what, if anything, would you want to do to respond?” 35 • Turn to your partner. • Partner A - Pick a goal in your life that is important to you – something that would make you a better person. Pick a goal that you feel comfortable sharing with your partner. • Partner B - Ask your partner an exception question. • Switch • Give feedback 36 • Now, with your same partner, give this a go on Cheryl’s case. • Have one person be Cheryl and one person be the social worker. • Think of an exception question you could ask Cheryl related to her depression. • Switch. 37 Summary: Exception Questions • Listen for the “empty spaces.” • Use the three questions—have you gotten behavioral detail focused on impact? • Use the SDM definition—does it change what you score? • Have you been rigorous about the history of protection? • Remember: Your questions are an intervention! 38 Scaling Questions 39 Basic Scale 0 10 Least Most A perfect 10! 40 Four Follow-up Questions 1. Describe your scale endpoints: 0 = the behavior to be stopped; 10 = the new, desired behavior. 2. What got you to that number? 3. Ask a position question: “Where would your daughter scale this if she were here?” 4. What will it take to move your number up just one point? 41 Example for Physical Abuse Case On a scale from 0 to 10, where 0 = the most danger, and 10 = the most safety for your child, when your boyfriend hits your child how safe do you think your child is? Follow-up questions: • What is helping you give it this number and not one below? • What (concretely!) would need to happen to increase your rating by one? • Can I tell you what I think would need to happen so my number would go up? 42 Very sad Very happy 43 Scaling Questions • Take something abstract and turn it into something concrete; • Take something that is often thought of as an absolute (“he/she is safe or he/she is not’” and put it on a continuum; • Help professionals stake a claim to their judgment in a concrete way; • Allow for dialogue across family/worker, worker and supervisor/manager; • Help professionals consider what family member views might be in supervision and consultation; and • Help identify small next steps. 44 With Whom Can You Use Scaling Questions? Ask questions that get the positions of all the family members on the scale… …especially the children! 45 Scaling and the SDM® System 0 10 46 Scaling Questions You can use these to assess: 47 Willingness Scale On a scale of 0 to 10, where 0 = you don’t feel willing at all to follow this plan, and 10 = fully willing, how willing are you to take this next step? Follow-up question: Is there anything we could do about this plan that might help your number go up by one? 48 Capacity Scale On a scale of 0 to 10, where 0 = you do not feel you have what you need to accomplish this goal; and 10 = you have everything you need, where would you say you are on this scale? Follow-up question: What could happen to bring your rating up one? 49 Confidence Scale On a scale of 0 to 10, where 0 = you have no confidence at all in your ability to accomplish this goal, and 10 = you have all the confidence in the world that you can do this, where would you say you are on this scale? Follow-up questions: • What is helping you keep it at that number and not one below? • What could happen that might bring your rating up one? 50 Progress Scale On a scale of 0 to 10, where 0 = we are making no progress on the problems that brought you into your work with the agency, and 10 being we are making all the progress that could possibly be made, where would you say we are right now? Follow-up questions: • If we met again one month from now and this number was up by one in your mind, what do you think would have happened? • How do you understand us getting different results from the different people we ask this? 51 Incorporating Scaling Questions A little goes a long way... 52 • Turn to your partner. • Partner A - Pick a goal in your life that is important to you – something that would make you a better person. Pick a goal that you feel comfortable sharing with your partner. • Partner B - Ask your partner a scaling question. • Ask the four follow-up questions. • Switch • Give feedback 53 • Now, with your same partner, give this a go on Cheryl’s case. • Have one person be Cheryl and one person be the social worker. • Think of a scaling question you could ask mom related to Cheryl’s depression. • Switch. 54 Summary of Scaling Questions • Scaling questions help us talk about abstract things in a more concrete way. • Scaling questions help us think about things on a continuum instead of on/off. • The important part of scaling questions is not the number, but using the number to have a conversation that follows. • Scaling questions can be used to help answer each of the three main questions (What are we worried about? What is working well? What needs to happen next?) and can help with any SDM assessment. • Scaling questions should be used strategically—they are useful at many, many points but do not need to be used at all points. 55 Position Questions 56 Position Questions These questions are designed to help someone shift perspective and see things through another’s eyes. “If your son was here right now and heard everything we have been talking about, what do you think he would be most worried about?” “When your daughter is older, what would you want to tell her if someone she was dating started doing to her what your boyfriend has been doing to you?” 57 • Turn to your partner. • Partner A: Pick a goal in your life that is important to you—something that would make you a better person. Pick a goal that you feel comfortable sharing with your partner. • Partner B: Ask your partner a position question. • Switch • Give feedback 58 • Now, with your same partner, give this a go on Cheryl’s case. • Have one person be Cheryl and one person be the social worker. • Think of a position question you could ask Cheryl related to her depression. • Switch. 59 Summary of Position Questions Position questions are a great tool to help ourselves and the families we work with to take on the perspective of another. These questions help to build empathy and to increase perspective about a given situation. Position questions help to build partnerships that can be used to build more safety for a child. 60 Coping Questions 61 Coping Questions Most people never would have been able to survive what you have survived. How do you think you were able to do it? Follow-up: • What specifically have you done to survive this? • Who or what has helped? • How have you managed to keep things from getting worse? • What would your child say he/she is most proud of that you are doing? 62 Exercise: Invisible Suitcase For children who have experienced trauma, they can have an invisible suitcase that is often filled with overwhelming negative beliefs and expectations. How could you ask a coping question to help a child deal with these beliefs? •“It’s all my fault.” •“I never know when something bad is going to happen around me.” •“I can’t count on the people who take care of me.” 63 • Turn to your partner. • Partner A: Pick a goal in your life that is important to you—something that would make you a better person. Pick a goal that you feel comfortable sharing with your partner. • Partner B: Ask your partner a coping question. • Switch • Give feedback 64 • Now, with your same partner, give this a go on Cheryl’s case. • Have one person be Cheryl and one person be the social worker. • Think of a coping question you could ask Cheryl related to her depression. • Switch. 65 Summary of Coping Questions Coping questions are a good starting place to build a partnership with a parent, child or caregiver. A good coping question relies on an astute sense of observation to determine what the person has been struggling with and how they have been managing that struggle. Coping questions can show a person that you see him/her more as a survivor than a victim. 66 Preferred Future Questions 67 Preferred Future Questions These are questions that help someone imagine a future they want/do not want and compare it to the present. Examples: You are pretty clear that this isn’t how you want things to be. How would you like things to be instead? (DETAILS!) What would need to happen to get things there? Ten years from now when your child is older, what story do you hope he/she tells about this time? About what you do or don’t do? 68 69 • Turn to your partner. • Partner A: Pick a goal in your life that is important to you—something that would make you a better person. Pick a goal that you feel comfortable sharing with your partner. • Partner B: Ask your partner a preferred future question. • Switch • Give feedback 70 • Now, with your same partner, give this a go on Cheryl’s case. • Have one person be Cheryl and one person be the social worker. • Think of a preferred future question you could ask Cheryl related to her depression. • Switch. 71 Summary of Preferred Future Questions • Preferred future questions help develop a vision for where they wish to be or where they want to go. It’s very hard to make a change if you don’t have a vision of where you want to be instead. • Preferred future questions can help a parent, child or caregiver to identify what they think should happen next, and identify small steps they can take to reach that destination. • Preferred future questions are helpful for people who have experienced trauma. They are a way to get a person thinking about how things can be, and actions they can take to start to feel better without using a substance or something else to cope with their pain. 72 At the Heart: “Motivation for change may be linked to the degree of hope that change is possible.” U.S. National Clearinghouse on Child Abuse and Neglect 73 Solution-focused Question Tip • Describe the purpose of the interview • I want to get your best thinking about how we can keep your child safe. • Discuss context • I am learning a new way to ask questions to help us get answers and ideas about how we can keep your child safe. This is new to me. • Agreements • Is it OK with you if I sometimes re-ask a question a few times so we can be sure the question is clear? 74 Application Examples Activity Possible Question First Contact Coping: “It must be a little hard having me in your home right now.” Investigation/Assessment Exception: “Can you tell me about a time when this problem was not happening?” Case Plan Formation Future: “Let’s say it is six months from now and this problem is solved. What would it look like?” Ongoing Safety Assessment Scale: “On a scale of 0 to 10, where 0 = it’s not safe and 10 = your child is now safe, where would you scale this?” Adoption Position: “I know how you feel about Tony’s birth parents, but if Tony was here right now, what questions or worries do you think he might have about his birth parents?” 75 What’s going well? What are your worries? Exception Questions Coping Questions Position Questions Scaling Questions Coping Questions Scaling Questions Position Questions Exception Questions What should happen next? Preferred Future Questions Scaling (confidence, capacity and willingness) Position Questions 76 Signs of Safety Practice Element #3 Signs of Safety Practice Element #2 Discover Family Strengths & Resources Find the Exceptions to the Maltreatment he rt te o r e a m re 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 e b St rengt h quest ions should not be seen as an at t empt t o minimize t he abuse. 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?” “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? p. 61 - 67 Rat her, st rengt h quest ions reinf orce t he idea t hat t he f amily’s lif e and experience f orm a f oundat ion on which change can be built . Exception Q uestions are instrumental in discovering the presence of safe and constructive behaviors. Signs of Safety Practice Element #6 Assess Willingness, Confidence & Capacity The willingness, conf idence and capacit y of service recipient s regarding any plans f or act ion are indicat ors of saf et y or danger. Willingness Use scaling questions to work toward lining up these three factors. Confidence Capacity p. 79 - 83 *Turnell, A. and Edwards S. (1999). Signs of Safety. New York: Norton 77 78 One Last Thing—Thinking Ahead In pairs: •What is one thing you heard today that you value or makes sense to you? •What are you already doing to put that into action in your work? •What else would you like to do to ‘land it’ even more in your work between now and next time? 79 References Berg, I. K. & Kelly, S. (2000). Building Solutions in Child Protective Services. New York: Norton. de Shazer, S. (1985). Keys to Solution in Brief Therapy. New York: Norton. Madsen, W. (2007), Collaborative therapy with multi-stressed families: from old problems to new futures (2nd Edition). New York: Guildford. Turnell, A. & Edwards S. (1999). Signs of Safety. New York: Norton. Child Protection Messages from Research.(1995). Studies in Child Protection HMSO: London. Creating Trauma Informed Systems (2012). National Child Traumatic Stress Network. Retrieved from http://www.nctsn.org/resources/topics/creatingtrauma-informed-systems 80