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THE. FAMILY-CENTERED PRACTICE. TRAINING SERIES. Workshop # 1: Opportunities in Family-Centered Practice. Workshop Goal. Safely maximize POSITIVE OUTCOMES for children and their families by using a non-adversarial FAMILY-CENTERED APPROACH
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THE FAMILY-CENTERED PRACTICE TRAINING SERIES Workshop #1:Opportunities in Family-Centered Practice
Workshop Goal • Safely maximize POSITIVE OUTCOMESfor children and their families by using a non-adversarialFAMILY-CENTERED APPROACH • to the assessment, planning, delivery and coordination of services.
Goals of the 5 Sessions • Why does the 2012 Goal ask us to re-focus on family-centered practice? • How is the system going to help me do my job in a family-centered way? • How can I use family-centered practice to improve my casework or supervision? • What’s happening locally to promote family-centered practice? • What information and ideas will help me back on the job?
Opportunities in Family-Centered Practice Session 1: Opportunities for Success Why does the 2012 Goal ask us to re-focus on family-centered practice?
Session 1 Learning Objectives • Describe two strategies for reaching the 2012 Goal. • Describe local initiatives that support the 2012 Goal and family-centered practice. • Use the Culture of Success Model to explain interrelationships vs practice & outcome. • Describe why the time is right for family-centered practice and the 2012 Goal. • Compare traditional & family-centered approaches. • Use the Best Interests Model to make good casework decisions.
I II III IV Culture of Success Model Good Practice Good Outcomes Poor Outcomes Poor Practice Adapted from the Quality of Service Review, developed by Ivor Groves, Ph.D., and Ray Foster, Ph.D., Human Systems and Outcomes, Inc., Tallahassee, FL.
I II III IV Culture of Success Model Good Practice Good Outcomes Poor Outcomes Poor Practice Adapted from Quality Services Review working papers, Ivor Groves, Ph.D., and Ray Foster, Ph.D., Human Systems and Outcomes, Inc., Tallahassee, FL.
Immediate Interactions • Create a culture of success within ourselves and in our interactions with: • Families • Our units • Throughout our agencies • Across our formal and informal providers
Subsequent Success Interactions • As we get traction, extend the culture of success in our interactions with: • Courts • Law enforcement • Media • Public
Critical Success Factors • Effective implementation of a family-centered practice model • Support from system leadership • Alignment of system practices
The Historical Context for Success The 2012 Goal
Out of Home Placements Up Slide: IV-E Waiver (1)
Foster Care Research Findings • Increased criminal activity • Increased unemployment • Increased teenaged pregnancy • Decreased school performance
2012 Goal • 50% reduction in out of home placements compared to 2007 while maintaining child safety
Title IV-E Waiver • Innovative means to reallocate funds in ways that maximize effectiveness: Room and Board and Supervision Direct Services
2007 Results • 20% reduction in out of home placements and child safety maintained
What’s Next? • Opportunities to use family-centered practice to meet the best interests of children and achieve the 2012 goal CULTURE OF SUCCESS
Family-Centered Approach • Case Work Practices • First concern: CHILD SAFETY! • Early provision of intensive services • Focus on family system • Building on family strengths • Collaboration with the family • Strong use of informal support systems
Family-Centered Approach • Requirements: • Staff education/training • DCF and CBC leaders need to step up • Teamwork vs. silos • Shared risk
System Requirements • Training and Education – 3 Workshops 1. Family Centered Practice: Philosophy 2. Engaging the Family 3. Case Planning • Initiatives for Family Centered Practice
Results • Effective implementation of family-centered practice to help ensure that the best interests of children and their families are met safely — and, ideally, that the 2012 goal is achieved.
The Best Interests Model Support for Good Decisions
I II III IV Culture of Success Model Good Practice Good Outcomes Poor Outcomes Poor Practice
FROM TO Make Best Decision for Child Safety When in doubt, pull ‘em out!
Make Best Decision for Child Safety When in doubt, FIND IT OUT! • http://cbcta.fmhi.usf.edu/flcwp/confvids/daytona/daytonafs.html
I II III IV Best Interests Model Adaptive Policy Multifunctional Team • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus Silo (individual) Inflexible Policy
I II III IV Best Interests Model: 4 Quadrants II I III IV Adaptive Policy Multifunctional Team • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus Silo (individual) Inflexible Policy
Adaptive Policy Multifunctional Team I II • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus III Silo (individual) IV Inflexible Policy Best Interests Model
Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus Best Interests Model
Multifunctional Team • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus Silo (individual) Best Interests Model
Adaptive Policy Multifunctional Team • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus Silo (individual) Inflexible Policy Best Interests Model
Adaptive Policy Multifunctional Team I II • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus III Silo (individual) IV Inflexible Policy The Variables Interact
Adaptive Policy Multifunctional Team I II • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus III Silo (individual) IV Inflexible Policy Right Questions — Honest Answers
Adaptive Policy Multifunctional Team I II • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus III Silo (individual) IV Inflexible Policy Am I making my decisions in the BEST INTERESTS of the child and the child’s family?
Adaptive Policy Multifunctional Team I II • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus III Silo (individual) IV Inflexible Policy Do I have a complete understanding of the situation and a good working relationship with the family?
Adaptive Policy Multifunctional Team I II • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus III Silo (individual) IV Inflexible Policy What other viewpoints might help me better understand situation and make best decision?
Adaptive Policy Multifunctional Team I II • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus III Silo (individual) IV Inflexible Policy Can we safely “flex” our standard operating procedures to better meet the child’s best interests?
Activity 1-2 Making the BEST Decisions
Adaptive Policy Multifunctional Team I II • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus III Silo (individual) IV Inflexible Policy Apply the Model
Adaptive Policy Multifunctional Team I II • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus III Silo (individual) IV Inflexible Policy Apply the Model
Adaptive Policy Multifunctional Team I II • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus III Silo (individual) IV Inflexible Policy Apply the Model
Adaptive Policy Multifunctional Team I II • Child Protection/Family Preservation Balance • Positive Outcomes Collaborative/ Solutions Focus Adversarial/ Problems Focus III Silo (individual) IV Inflexible Policy Apply the Model
Opportunities in Family-Centered Practice Session 2: Hey, System—Help! How is the system going to help me do my job in a family-centered way?
Session 2 Learning Objectives • Describe research findings regarding the impact of foster care on children. • Describe the system opportunities/challenges that affect family-centered practices implementation. • Describe the potential impacts of “worker passion,” IV-E, and worker bias. • Describe system initiatives supporting a Culture of Success & effective family-centered practices. • Describe why it’s possible to achieve a balance that ensures safety and promotes family preservation.
Doyle Foster Care Research • Study period: 1990-2002 • Sample location: Illinois • Sample: 15,000 children in non-relative foster care • Moderate risk cases only (i.e., “gray” area) • Comparison: children left with families versus removed • http://cbcta.fmhi.usf.edu/flcwp/confvids/westpalm/westpalmfs2.html
Doyle Research Findings • ARRESTED AT LEAST ONCE • Children removed: 44% • Children with families: 14% • PREGNANT TEEN MOTHERS • Girls removed: 56% • Girls with families: 33% • JOBS FOR AT LEAST THREE MONTHS • Children removed: 20% • Children with families: 33%
Summary of Other Research • Children with Foster Care history are: • More likely to drop out of school • More likely to abuse drugs • More likely to score lower on the FCAT • More likely to be diagnosed with a learning disability • Twice as likely to be held back a grade
Summary of Other Research • Children with foster care history are: • 4 times more likely to receive food stamps • 17 times more likely to be homeless • 3 times more likely to be in prison or on parole
Factors that Impact Our Work Worker Passion Worker Bias IV-E Waiver
Worker Passion • What situations or circumstances bring out a sense of passion for the work you do? • What effect does that work passion have on the results of your work? • How might your work passion impact your use of a family-centered approach?