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Best practice Standards

Best practice Standards. Ólöf Ásta Farestveit Leader of Barnahus Zagreb 2 nd to 4 th of February. Standard 4 Child friendly environment. Environment. House in a residential area No marking outside The address is hidden First thing they see when they come inside

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Best practice Standards

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  1. Best practice Standards Ólöf Ásta Farestveit Leader of Barnahus Zagreb 2nd to 4th of February

  2. Standard 4Child friendly environment Environment • House in a residential area • No marking outside • The address is hidden • First thing they see when they come inside • Give the child something when they they come

  3. Environment • Minimize anxiety • Age appropriate waiting rooms • Age appropriate therapy sessions • Family therapy • Group therapy

  4. Pictures

  5. Accessibility • Safety of the child • Neutral location • Close to the buss station • Two floors – two doors • IT- link to the Court • Access for handicapped and disabled children

  6. Privacy and preventing contact • Not offender friendly place • Two doors and two floors • Hidden address • Sound proof rooms • Parents wait in another room • Therapy room with thick doors

  7. Interview room • Observation from another room • Communication through ear prop • Not one-way mirror • Safed on DVD • Interviewer specialised in interviewing and child´s development

  8. Standard 9Therapy • After the interview – the child gets therapy • Family gets support • Evidence based therapy

  9. Assessment • Provides a picture of what´s going on with the child • Helps to determine • Presenting symptoms • The need for treatment • What type of treatment is best fit? • Helps in development of treatment plan • Enables therapist to assess treatment progress Methods: • Formal, Standardized Measures • Clinical interview • Clinical observations

  10. Assessment tools • Depression and anxiety scales • BDI-II – Becks Depression Inventory • BYI – Becks Youth Inventories • CDI – Kovack´s Children´s Depression Inventory • DASS – Depression Anxiety Stress Scales • MASC – Multidimensional Anxiety Scale for children

  11. Assessment tools • PTSD scales • CAPS – Clinician Administered PTSD Scale • Semistructured interview • UCLA-PTSD index for DSM-IV • PSS-SR – PTSD Symtom Scale – Self Report

  12. PTSD assessment • UCLA PTSD reaction index • Information about trauma exposure and PTSD symptoms • Yes/no response to 13 trauma exposure qestions

  13. Type of therapy • According to WHO (world health organisation) • TF-CBT (Trauma-focused cognitive-behavorialtherapy) http://tfcbt.musc.edu/ • CBT (cognitive-behavioraltherapy) • CPT (cognitive-processing therapy) • EMDR (eye movement desensitization and reprocessing) • Psycho-education • Play therapy • Sand-therapy • Behavioral - modification • Building self esteem /self respect • Family therapy (assessment)

  14. Iceland – one Barnahus

  15. Standard 12challenges The law Court procedure That judges would use Barnahus for interviewing Trust among the defendant lawyers Trust the staff to do the interview in a neutral way Trust the Barnahus staff to be professional Understand the protocol Understanding the difference between interview/ therapy • Changes in the law • The law say specialiced person to interview • Special equipped room for interviewing children • Barnahus should be mentioned in the law

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