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Copy of Umbrella Effect

NHS Visual Aid
by

nancy hunter

on 14 March 2014

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Transcript of Copy of Umbrella Effect

Engaging Families and Youth in
Safety and Risk Assessments


Safety and Risk assessment
Information Gathering and
Decision Making

Documenting and communicating about
Safety and Risk Assessments and Decisions

Respecting and responding to
Race ,Ethnicity and Culture

Identifying fathers
Workers call ahead and schedule initial appts with a parent
Engaging fathers
Gathering information from youth and families to improve assessments
Teaming social workers to better provide access for families and improve decion making
Providing focused clinical supervision to enhance decision making
Increasing and supporting communication among birth parents,caregivers,children,and the agency to reduce safety concerns and minimize risks
.transitioning cases between child welfare workers in ways that support families
Engaging in conversations with families about race,ethnicity and culture
Improving documentation of case decisions
Providing information to families about the child welfare system and decision making
Using peer mentors to support families
.improving communication about cases
Values and Goals in action
Including families in assessments , assessment related meetings and the completion of assessment tools
Including youth in assessments , assessment related meetings and the completion of assessment tools
Creating safety plans collaboratively with families and youth
Engaging and collaborating with
community partners

Use of planned interventions in domestic violence cases
Engaging substance abuse consultations early in the case
Coordinating referrals collaboratively with families and community partners
Identifying and Engaging
Natural supports

working with families to identify their own supports
working with youth to identify their own supports
using supervision and developing protocols to identify and engage natural supports
workers will call ahead to parents asking permission to interview the kids
how about some version of this ?
workers will call ahead to set the interview time and ask parent to bring a support person with them
your unit's version of this recognition of partnership
ask more questions about dad and his family
identify and involve non custodial parents
identify father and invite him to meetings
making id systems work
to find "missing" fathers
worker to meet with noncustodial dad including domestic violence referrals
focus in on how dad wants to be remembered by his children
five questions to ask dads regardless and including men where domestic violence is at play
1.How do you want your kids to remember you?

2.What are your hopes for your children?

3.What have you tried to do to reach those goals?

4.What worked well or what do you think would work well?

5.Is there anything you have tried that you would do differently now?
explaining investigation decisions
full case disclosure and decision transparency: the how ,the when,the who and the tools
building relationships
with families
Family Folders
workers provide families with a case document folder they can access and refer to when there is family meeting ,home visit or phone call.
Parent Leaders/
Parent

Advocate
/
Family Advocate
/Parent Partners /
Parent Mentor
/Youth Mentors
introducing into practice the use of families who have experienced contact with cfs and who are recruited and supported to help parents navigate the bureaucracy from a written letter available to a new family with their own story to participating in a family meeting to helping with visitation
unit workers obtained written consent/releases from newly involved parents parents to allow contact from an approved parent mentor to phone or do an outreach to them
Project Outreach:

Tammy's Touch stone:
offering peer mentors to parents who become court involved .Mentor has written letter to share about roles ,process
Supported Visitation:
Parent Partner or peer mentor to accompany a birth mother or birth father during visitation
social worker and family advocate use a team approach
offering families access to a person who have previously experienced the system first hand
Youth to Youth:
A willingness to share
allowing for a young adult who is still in care to share experiences with an adolescent who is currently in care
Youth Mentor
youth to youth opportunity to talk as they begin ther journey in foster care
The Resource Youth
This youth would write a letter about their experiences in care ( some stumbling blocks they experienced) or what transitioning was like to adulthood
Engaging Youth who are turning 18
bringing the youth leader or advocate into discussions with an exiting youths to share their experiences
Using peer mentors to support youth
Using the Right Tool the Right Way
complete SA ,PFH Genogram,and Family Safety Plans with families and their supports
Engage Families in completing the tools
preferably in the family home use the SA tool to further discussions about worries and what and who helps mitigates danger in the family.Tool completed in the office within 24 hours of meeting the family and before a new safety plan is developed
Permanency Focused Family Meetings:
aka a network meeting
social worker will schedule a family meeting with the help of the parents.This could include relatives,friends,community supports formal and informal.
youth survey tools
in the initial assessment show the parents the assessment tool before interviewing the kids to get their position re danger and safety
Engaging the children using the assessment tool
develop a tool for children newborn to 12 and 13 to 18
Operation Adolescent Assessment
to assess teen suicidality always ask 2 questions:
1.have you ever thought of hurting yourself or others?
2.who could you talk to?

Youth Voice
to ensure the kids voice is heard at the Family Team Meeting;
if the child cannot be present the worker will meet with her to decide who will speak on their behalf and what will they say
Youth says /negotiates with worker how often,when ,where,they will meet in a narrative log
Youth in Extended Care
Each new case will have a Family safe Plan
Sitting Safely
collaborate with family to generate a mutually agreed upon safety plan
Getting to know me
completing medical info forms with parents about their child to share with foster parents
About Me:
complete info sheets with kids to be shared with new care givers
Operation well being
US insurance aspect
Effective Communication
Red Team Idea:intakes from previous day are reviewed by Intake Team with quick mapping of most serious situations so each intake worker could respond to the family
Red team includes Intake workers RD IHS sup
Pairing Caseworkers
experienced workers paired with newer workers to increase engagement skills and assessment of safety and danger
Teaming
Pulling people together to assess and act on a family would permit/promote the first visit after apprehension within 24 hours as you have more people IHS,RD and Intake in the know and at the ready
Introducing Ongoing workers to Investigation
Quality Reunification Plans
sup-workers conversations about reunification before case planning meetings/Family Team Meeting with families to identify what improved safety would look like including services and daily living habits
supervisors focus discussion on permanency
keeping the topic of permanency front and center regarding the urgency for children to have permanent homes ensuring workers are having a similar discussion with parents
Safety Mapping at important junctures
at every apprehension include Rd,IHS,when possible
when there are 3 or more subsequent intakes to an open case within 6 months of opening
sup and managers facilitate safety mapping to clarify risks,harms,and protective capacities .This is to used to guide case planning at critical case junctures when removal might be a risk
visits within 24 hours of placement
removing worker empowered by office culture to pull in whoever to facilitate this
youth interviewed re other important people in their life
w/in 24 hours a call between parent and foster parent to share updates
w/in 24 hours call to family by apprehending worker
About Me forms done with youth
worker seeks out natural supports for family even if they are not placement options
Foster Parents meet birth parent(s) within 5 days
>info sharing and < fantasy or what/iffing for both foster parents and birth parents
potential for foster parent to be a mentor for parent education and support
done by RD worker
About Them
collecting child friendly info re foster parents to share with youth before placement .
Done by RD worker and includes pics
Getting to Know You
have youth advocate interview prospective foster parents during pre licensing .
Youth will interview during PRIDE training
Asking Youth about their experiences in care
At annual re licencing of foster parents interview at least one of the children placed asking 3 questions:

1.from your perspective what is one thing kids coming into this home should know?
2.Can you you identify a positive experience in this home?
3.Can you identify a concern you might have with this home ?
Better Transitions from Investigations to Assessments
include families in transitions meetings
seamless
Transition
Operation
intro by intake worker to new ongoing worker to <gaps,"I didn't knows",
discussion of roles
Comprehensive Transfer Meetings
families included as in the format of Family Team Meetings
Improving Documentation
easy access to ongoing closing summaries
consistent share out of info amongst all stake holders
every participant of a Famliy Team Meeting addresses an envelope to give the facilitator so the minutes of the meeting can be sent to them within 10 days
Collaborating with D/V Liason
having more DV liasons present at FTMs
connect to D/V liason prior to home visit and record the consult
caseworker will offer the sevices of DV during the initial visit
Separate interviews in
DV interviews
Interview all family members where there are allegations of D/V

each parent will be interviewed separately and social worker will meet with each child to do safety planning
Improved Safety Assessments and Outcomes
assessment worker will consult with AFM worker prior to first visit with family re info needed and questions to ask about usage to accurately assess safety of the children
assessment worker will consult with AFM worker prior to first visit with family re info needed and questions to ask about usage to accurately assess safety of the children
invite AFM worker to FTM to assist in case planning with the family
as a resource to the family and the workers to articulate concrete case goals
Case planning in Substance Abuse Cases
Increase co ordinaton of communication between cfs and afm
early linkage for parents assessed as high risk for alcohol abuse is facilitated by the worker at the initial home visit empowering the parent to call the service to set an appt. time that works.
The back up plan is that before going out the cfs worker will have the business card of theAFM worker with possible meeting time and date and then follows up to ensure links are made
P
Partnership for Safety with Provider
inter agency meeting to discuss impacted families .Each leaves with action steps toward progress
CFS does the safety concerns,reason for involvement and the family' s main vulnerability and goals.
AFM would provide the overview of the treatment goals and progress toward the goals
Better Coordination for Families
families,mental health providers,and child welfare staff have joint meetings to co ordinate services to the family while increasing the voice of the family at the same time
Worker and parent to make a phone call to MH together where family can select the date and time that works best
creating structures to help families and workers better understand who is in the safety network
worker to ask specific questions to identify who they would prefer to be caregivers should placement ever be needed
ecomaps are done with families at various points including assessment ,case closure,youth aging out and reunification
family and youth are invited to include informal supports they identify
responses are documented in case notes and assessments
Creating structures to help youth and workers better understand who is in the safety network
when youth enter care the worker asks:
*
who is important to you?
*who would they like to be in relationship with?
*
what the nature of those relationships should be?
*what should the agency know about this person?
responses should be documented in the case notes and the child's lifebook
workers should follow up on the responses
workers should help the youth build on their self identified natural supports
supervisors take the lead in ensuring workers are asking questions to address who is in the network or who could be
supervisors discuss the how tos with workers as a basic tenet to strngths based work
when answers are not forthcoming the supervisor assists with questions to go deeper with a family
scripts may need to be developed to guide these initial conversations





training may be needed to help workers develop their engagement skills over the phone







training may be needed to help wokers understand the impact of this change on future relationship building







If this is the new standard ,agencies would need to develop a process to determine when it is NOT appropriate to call ahead due to immediate safety issues
our ideas
Things to think about;plan for
scripts may need to be developed to guide these initial conversations





training may be needed to help workers develop their engagement skills over the phone







training may be needed to help wokers understand the impact of this change on future relationship building







If this is the new standard ,agencies would need to develop a process to determine when it is NOT appropriate to call ahead due to immediate safety issues
our ideas
Things to think about;plan for
scripts may need to be developed to guide these initial conversations





training may be needed to help workers develop their engagement skills over the phone







training may be needed to help wokers understand the impact of this change on future relationship building







If this is the new standard ,agencies would need to develop a process to determine when it is NOT appropriate to call ahead due to immediate safety issues
our ideas
Things to think about;plan for
scripts may need to be developed to guide these initial conversations





training may be needed to help workers develop their engagement skills over the phone







training may be needed to help wokers understand the impact of this change on future relationship building







If this is the new standard ,agencies would need to develop a process to determine when it is NOT appropriate to call ahead due to immediate safety issues
our ideas
Things to think about;plan for
scripts may need to be developed to guide these initial conversations





training may be needed to help workers develop their engagement skills over the phone







training may be needed to help wokers understand the impact of this change on future relationship building







If this is the new standard ,agencies would need to develop a process to determine when it is NOT appropriate to call ahead due to immediate safety issues
our ideas
Things to think about;plan for
scripts may need to be developed to guide these initial conversations





training may be needed to help workers develop their engagement skills over the phone







training may be needed to help wokers understand the impact of this change on future relationship building







If this is the new standard ,agencies would need to develop a process to determine when it is NOT appropriate to call ahead due to immediate safety issues
our ideas
Things to think about;plan for
scripts may need to be developed to guide these initial conversations





training may be needed to help workers develop their engagement skills over the phone







training may be needed to help wokers understand the impact of this change on future relationship building







If this is the new standard ,agencies would need to develop a process to determine when it is NOT appropriate to call ahead due to immediate safety issues
our ideas
Things to think about;plan for
scripts may need to be developed to guide these initial conversations





training may be needed to help workers develop their engagement skills over the phone







training may be needed to help wokers understand the impact of this change on future relationship building







If this is the new standard ,agencies would need to develop a process to determine when it is NOT appropriate to call ahead due to immediate safety issues
our ideas
Things to think about;plan for
scripts may need to be developed to guide these initial conversations





training may be needed to help workers develop their engagement skills over the phone







training may be needed to help wokers understand the impact of this change on future relationship building







If this is the new standard ,agencies would need to develop a process to determine when it is NOT appropriate to call ahead due to immediate safety issues
our ideas
Things to think about;plan for
New England Breakthrough Series Collaborative
Project Overview
The purpose was to improve how New England public child welfare agencies and their communities assess and make decisions related to child safety.
Casey Family Programs was the primary funder of this iniaitive as well as supporters and evaluators .There was collaboration with the University of
The Breakthrough Series Collaborative was developed by the Institute for Health care Improvement and was introduced to child welafre as a practice improvement methodology by Casey Family Programs.In the BSC,teams of constituents ,community partners,and members from all levels of participating agencies used continuous quality improvement methods to address the challenges of making safeth and risk assessments .The teams came from multiple target sites in each state.A small planning team and faculty from across New England guided participants in making iterative changes in 7 key areas of practice .Roughly 200 participants on 22 teams shared ideas,practices ,measures ,and documents on a secure website,in monthly conference calls and at two day meetings convened every 5 to 6 months .Each state bundled complimentary practices from its target sites ,integrated them with the goals of the larger agency initiatives and ultimately spread them into offices statewide







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