LELIEBLOEM HOUSE Specialised Behaviour Management Program

1. LELIEBLOEM HOUSESpecialised Behaviour Management Program Specialised Behaviour Management Program

2. GAPS IN SERVICE PROVISION Increasing cases of adolescents exhibiting serious behavioural problems leading to.... Family “unable to cope” - referred into alternative care denying admission to CYCC’s CYCC’s struggling to meet these children’s needs - No longer a “deeper into the system option” Schools “unable to cope” - truancy / suspension / expulsion Specialised Behaviour Management Program

3. ADDRESSING THE GAP Pilot program undertaken by Leliebloem CYCC in May 2011 Subsidised by the Department of Social Development Designed by clinical social worker with a background in CYCC Specialised Behaviour Management Program

4. CYCC • Skills training • Support • Child • Full assessment • Therapeutic sessions • - play therapy • - life coaching) • ADP • School holiday program Specialised Behaviour Management Program SBMP • Family • Parenting skills • Support • Family therapy • School • Placement • Educator support • Monitoring Specialised Behaviour Management Program

5. CYCC • Skills training • Support • Child • Full assessment • Therapeutic sessions • - play therapy • - life coaching) • ADP • School holiday program Specialised Behaviour Management Program SBMP • Family • Parenting skills • Support • Family therapy • School • Placement • Educator support • Monitoring • SYSTEM CHANGE: • Education department • CYCC’s Specialised Behaviour Management Program

6. FAMILY SYSTEMS THEORY (BOWEN) www.thebowencentre.org Theoretical Framework Members are intensely connected Actions of one affect all others Triangles - Building block of larger system - three person relationship system to alleviate relationship tension Societal influences - Each person is impacted by their environment and they in turn impact their family members Multigenerational transition Holistic way of looking at the “problem” – Avoids blame Specialised Behaviour Management Program

7. Theoretical Framework Holistic approach - Work in all facets of a child’s life - All members of their family and system Strengths based - Instills hope for the child - Allows the social worker to work in a more positive way with what every one else sees as an “unsolvable problem” Specialised Behaviour Management Program

8. Target Group of SBM program? Beneficiaries: Ten adolescence age 13 to 18 years (exceptions made) Admission Criteria: Adolescents with a diagnosis/ display behaviours associated with CONDUCT DISORDER or OPPOSITIONAL DEFIANT DISORDER. Exclusionary Criteria: Drug use and school drop out not exclusionary criteria Parent / Guardian participation essential Service area: Community and CYCC’s inWynberg & Athlone districts Specialised Behaviour Management Program

9. Successes Pilot successful and subsidy renewed In second half of year Numerous referrals with a waiting list 7 of 10 successfully placed back into school or stayed in school after treat of expulsion 2 previously found at risk prevented from entering alternative care Specialised Behaviour Management Program

10. Successes Community outreach – DSD biological parents group Education Department partnership – workshops Continuous evolution of program to meet the needs of the beneficiaries Specialised Behaviour Management Program

11. Challenges High drop out rate due to: - Lack of commitment from external agencies & CYCC’s - 3 children absconded from CYCC (beyond service area) Contracts signed by referring professional – clearly stating obligations 2 referrals denied - child/parent being hearing impaired Social worker to do sign language course Specialised Behaviour Management Program

12. Challenges Multiple referrals from CYCCs- transfer of knowledge to different cases Work with system instead of one client so that learnings are transferable Time constraints – Manpower Leliebloem CYCC’s to assist Specialised Behaviour Management Program

13. What makes it work? THE PROGRAM: Constantly evolving to meet needs of beneficiaries Each child assessed and intervention tailored to their specific needs Holistic support – child, family/guardian, school Partnership with ADP – camp and group work Specialised Behaviour Management Program

14. What makes it work? SKILLS OF THE WORKER: Strengths based approach Patience and endurance- to work in the space where everyone else has given up Rapport building skills Ability to ”work with a clean slate” No blame while getting child and family to accept responsibly (Change patterns) Ability to work with child and parents Specialised Behaviour Management Program

15. What makes it work? Social worker to be adept at : Play therapy assessment skills Adolescent life coaching Family therapy Parenting skills Strength based approach Cognitive behavioural therapy techniques Group Facilitation skills Specialised Behaviour Management Program

16. Roll out of program Social Worker dedicated to the program Correct skill set of social worker Funding and vehicle Specialised Behaviour Management Program

17. Leliebloem House’s Specialised Behaviour Management Program Program Coordinator: Cindee Bruyns Tele: +27 21 6974947 Fax:+27 21 6964174 socialwrk2@leliebloem.org.za Specialised Behaviour Management Program