Case Planning The heart and soul of Solution B ased C asework

1. Case PlanningThe heart and soul of Solution Based Casework

2. Learning Outcomes You will be able to: • Participants will be able to: • List the main elements of a case plan • Explain the importance of having both Family and Individual Level Objectives • Write case plan objectives using the SBC format

3. Continued: Learning Outcomes • Develop case plan objectives in Domestic Violence and Sexual Abuse cases • Transition the verbal consensus made with a family and develop case plan objectives/tasks • Describe the five critical skills that parents/caregivers must demonstrate in specific action plans • List methods for documenting and celebrating progress

4. 4 Milestones of Our Practice 1 2 3 4

5. 2 Milestone Planning is: Getting Organized. First Generally, then Specifically.

6. SBC Case FLOW Family Plan Family Agreement Assessment Pull it Together in to a Consensus Summary Dad’s Plan • Normalizing • Tracking family life • Exceptions • Separating Intentions How might we help? Let’s get Organized! Let’s Sort this out… Let’s Get Specific!

7. Family Meeting Overview of Case Planning in SBC • Case Plans Build from Consensus Summary • Always at least one FLO and ILO • Family Objectives call for a NEW Plan to manage situations that are safety or serious risk concerns • Individual Objectives call for NEW Plan to manage personal issues that threaten the Family Outcome’s success • Objectives are “what will be happening” to create safety • Plans are Co-constructed and Family Ownership a Priority.

8. Phrasing an Objective

9. Lets Practice • The Williams family was brought to the Departments attention after 2 year old Sabrina was brought to the ER by her mother for a fractured right arm. • In small groups, hypothesize what might have happened to Sabrina. Include thoughts, feelings, actions by the family.

10. Sorting it out Practice Based on your group’s story about the Case: • What type of a better plan does the family need to have to increase child safety? i.e.. A Family level outcome (FLO) • A better plan to….. • What type of better plan does the parent/caretaker need? i.e.. An individual level objective (ILO) • A better plan to……

11. Practice Writing an SBC Objective

12. Initial Tasks for FLO and ILO’s A task to…. • The family (or individual) will Develop a specific ACTION Plan to (safety concern) with the assistance of (service provider or caseworker) • The family (or individual) will Share the ACTION Plan with (all significant others) to ensure others are informed and notice the changes occurring • The family (or individual) will Document & Celebratethe success of the ACTION Plan with the help of caseworker and others • The family will take other Immediate Safety Steps such as: • NO corporal punishment ….. (example)

13. What do you do with Lower Priority Concerns ? ?

14. Case Plan Objectives for: Special Types of Cases • Sexual Abuse • Domestic Violence

15. Guidelines for Writing Objectives in DV and Sexual Abuse • In Domestic Violence: • 1st Family Level Objective is always around Safety from Physical Harm (not developmental situation). • If first occurrence assessed as situational violence, then 2nd FLO can be around developmental situation (to be completed upon completion or significant progress on individual level outcomes). • ILO on perpetrator (relapse prevention plan on control/temper post treatment) • Possible ILO on non-offending parent if failure to protect is assessed (overcome personal hurdles to protection)

16. Guidelines for Writing Objectives in DV and Sexual Abuse • In Sexual Abuse: • 1st Family Level Objective is always around Safety from Sexual Assault (never developmental situation) • Individual Level Objective is on perpetrator (sexual offending relapse prevention plan post treatment) • Possible ILO on non-offending parent if assessed to have had knowledge and didn’t protect (overcome personal hurdles to protection)

17. Practice with Objectives: Special Types of Cases • Sexual Abuse • Domestic Violence

18. 3 Milestone Getting Specific: Developing Specific ACTION Plans

20. What Skills are We Talking About ? Able to: • Identify difficult situations/triggers • Identify early warning signals • P revent high risk situations • I nterrupt risk situations not avoided • E scape situations not interrupted

21. Triggering Events Justification • Denial • Guilt and shame • Wild promises Early Build Up • Negative Thoughts • “Poor Me” • Blaming others High Risk Situations for Abuse and Neglect EXIT EXIT Harmful Incident • Physical abuse • Sexual abuse • Substance use • Lack of action Late Build Up • Physical Signs • Get-back fantasy • Building Excuses

23. Practice with ACTION PLANS Use the Williams Case and develop Action Plan tasks for both: Family Objective on: Individual Objective on: Specific Measurable Accountable Realistic Time framed

24. 4 Milestone Documenting and Celebrating: Noticing and Anchoring Real Change

25. Suggestions for Documentation Approaches Daily Journal Scaling Feelings or Accomplishments Chores Chart Buddy Report Appointment Calendar Providers report specific to tasks Practice observations from Visitations

26. Suggestions for Celebration of Change Anticipate change Verbal acknowledgment T-charts Collect stories and examples Call an FTM (or an FSTM) Have a celebration party Provide a certificate Memory book of change Write and mail a card Share good news with support team