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The Core Practice Model: Engaging Families

The Core Practice Model: Engaging Families. Jarred Vermillion Manuel Lua LMFT. Objectives . Understand the effect of trauma on engagement of children/youth and families with professionals

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The Core Practice Model: Engaging Families

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  1. The Core Practice Model: Engaging Families Jarred Vermillion Manuel Lua LMFT

  2. Objectives • Understand the effect of trauma on engagement of children/youth and families with professionals • Discuss ways to develop full partnership with children/youth and families in the Child and Family Team • Adjust engagement approaches so that they are sensitive and responsive to cultural differences • Assure family voice, choice, and preferences throughout the process

  3. Your Needs Why did you Chose a Training on Engagement? One thing You Want To Walk Away with?

  4. Mental Models ? "The image of the world around us, which we carry in our head, is just a model. Nobody in his head imagines all the world, government or country. He has only selected concepts, and relationships between them, and uses those to represent the real system” -Jay Wright Forrester

  5. Mental Models Impact on Engagement The concepts, ideas, believes we carry in our heads about families will impact our relationship and our ability to engage and create facilitate HOPE

  6. Mental Model Challenge What are the key bodily components required to drive a car?

  7. Engagement with Families…. Starts With Our Mental Model Drive Movie

  8. What Key Concepts Can We Learn From Richi When Engaging With Families Introduce self and share key concepts

  9. Todays Mental Model • Family Engagement is….. • Strength Based • Family Centered • Partnerships

  10. What Do you see?

  11. Strength Based is……. • Creating Space for Compassion, Connection and Competence • An approach and energy to discover/assess, increase and build on an individual or families strengths: • Focus on the strengths vs solely deficit-based approach • skills • knowledge • experiences • positive qualities • Talents • Characteristics

  12. Family Centered is……. ACTIVITY: Pair up and share, about a time when someone told you, how it was, what you should do and did not ask for your perspective. Please share with each other.

  13. Family Centered • Challenges traditional mental models of the who the client is…. • Challenges traditional mental models of what a family is… • Challenges traditional mental models of who can help…..

  14. Family Centered Activity If you were the clients • Who would I have o get to know to know you • Who makes up your family • Who is/are the most helpful in your life

  15. Partnership means……. • Service is Developed and Delivered in Collaboration • Partnering beyond, • Family • Youth • Children's Mental Health • Child Welfare • Family supports • Requires Teamwork: • Shared Vision and Beliefs • Communication • Team Decision Making • Commitment

  16. Partnership Activity Shared Vision and Beliefs Communication Team Decision Making Commitment

  17. Objective 1Effect of Trauma on Engagement of Children/Youth and Families with Professionals

  18. What Is Trauma • A serious injury or shock to the body, as from violence or an accident. • An emotional wound or shock that creates substantial, lasting damage to the psychological development of a person, often leading to neurosis. • An event or situation that causes great distress and disruption

  19. Trauma Affects • Brain Function • Attainment of Developmental Milestones • Social Perceptions • Health • Emotion and Behavior • Relationships

  20. Typical Response to Trauma • Fight • Flight

  21. Describe a “disengaged “ client In groups discuss the behaviors that impact YOUR relationship with your client? Fight behaviors? Flight behaviors?

  22. Multiple Transitions Movie

  23. Trauma & THE “SYSTEM” Group Questions Can the “System” cause trauma? What are typical “symptoms” associated to System Trauma” How is engagement impaired?

  24. Trauma-informed practice focuses upon what has happened to a child and his/her family rather than what is wrong with that child or family. It means using knowledge of trauma and recovery to design and deliver services.-Core Practice Model

  25. Trauma Informed Care Elements National Child Traumatic Stress Network Child Welfare Committee • Maximize physical and psychological safety for children and families • • Identify trauma-related needs of children and families • • Enhance child well-being and resilience • • Enhance family well-being and resilience • • Partner with youth and families • • Enhance the well-being and resilience of those working in the system • • Partner with child-serving agencies and systems

  26. Objective 2Partnerships for Engagement

  27. Partnerships Creates Interconnectedness

  28. Mental Model for Partnerships Acknowledge and Deconstruct Power Deferential and Hierarchy Narrative

  29. What s the “traditional” Mental Model regarding Hierarchy with the Clients we Serve? Who holds the Power Who makes the decisions Who's on tip of hierarchy? Who’s on bottom

  30. EDUCATION+ MENTAL HEALTH EDUCATION MENTAL HEALTH ED+MH+CW ED+MH+JPD Youth and Families MENTAL HEALTH + JUVENILE PROBATION DEPT EDUCATION+ CHILD WELFARE ED+CW+JPD JPD+ MH+CW CHILD WELFARE + JPD CHILD WELFARE JUVENILE PROBATION DEPT

  31. Deconstructing the Narrative Starts with Understanding the Narrative “Timelining” the experience of “the system”

  32. Key Timeline QuestionsPacing and Leading Pacing (Colombo Approach) • When did you first become involved? • Can you tell me about the different people that attempted to help you? • Who was helpful…..who wasn’t? • What was the least helpful ? • What was the most helpful • What was the hardest/most challenging part of your experience?

  33. Key Timeline QuestionsPacing and Leading Leading (pay attention to key descriptors) • If you could do that part all over again (select any part of timeline) how should it been handled? • What would have been more helpful • Given you’ve gone through all this, what have you learned about yourself that would be helpful to me • What do I need to know about working with you? • If you were your own provider how would you approach working with you?

  34. Seeking the Transformative Statement What are we offering to families? • Commodities • Products • Services • Experiences • Transformations

  35. Partnerships for Engagement • Seek to understand their desired transformation not our assessed problem.. • When ever possible, use their language….everywhere • Allow them to change goals as frequent as needed • CREATE A CULTURE WHERE FEEDBACK IS VALUED

  36. Deconstructing the Hierarchy Nonjudgmental Communication

  37. “Communication is the largest single factor determining what kinds of relationships she or he makes with others and what happens to each in the world”-Virginia Satir

  38. Elements of CommunicationVirgniaSatir • We bring our Bodies • We bring our Values • We bring our Expectations • We bring our Sense Organs-eyes, ears, nose, mouth, and skin • We bring our Ability to Talk-How we Talk • We bring our Brains/Knowledge

  39. The Communication DanceVirginia Satir You are face to face with me. Your senses take in what I look like, how I sound, what I smell like, and, if you happened to touch me, how I feel to you. Your brain then reports what this means to you, calling on your past experiences, your book learning. Depending on your brain reports, you feel comfortable or uncomfortable, your body is loose or tight. Meanwhile, I am going through something similar,. I too, see, hear, feel something, think something, have a past, and have values and expectations and my body is dong something…….

  40. Tips to Developing Partnerships • Common Goals • Developed Trust • Clear Unity and Purpose • Effective Conflict Management • Inputs valued • Roles are clear and able to flex • Accountable to each other • Shared Commitment

  41. Interconnectedness Movie

  42. Objective 3Engagement Approaches ”sensitive and responsive to cultural differences”

  43. It is important to recognize how challenging the engagement process can be, particularly among minority cultures and families dealing with serious mental illness and/or substance use disorder.

  44. Cultural Connections Discussion Big Ideas: • Youth Culture • Individualized Approach vs Cultural Assumptions • Awareness of our Culture Activity: Thinking about the families we work with, as a group breakdown culture. Define and list the different types of culture.

  45. Engagement Styles and Skills • Using your senses • Sight • Smell • Touch • Hear • Seeking strengths to defuse anger • Finding common Ground • Seeking to understand • Showing genuine interest • Creating opportunities for cross teaching • Encouraging autonomy and transparency

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