Title: Practice Model
1Practice Model
Bringing the pieces together
- Childrens Administration Practice Model
- Braam Panel Meeting December 8, 2008
2How Was the Practice Model Chosen for CA?
- In 2006, a Practice Model Work Group was
developed that was asked to determine if changes
were needed to - Incorporate evidenced-based practices into CA
that would significantly improve outcomes - Improve family engagement in assessment and case
planning
3The First Changes from the Practice Model Work
Group
- Expanded Placement Resource Options
- Definition of relative expanded
- Placements allowed with suitable persons
- SDM Risk Assessment
- Research indicated it was more equitable,
reliable, valid and could be used to help reduce
recurrence
4Practice Model Goals
- The Practice Model work group was also asked to
look at whether the adoption of a model of
practice had the potential for - Improving outcomes for clients
- Increasing the consistency of our practice
- Providing better support to CA staff in their
professional development and to support retention
5Requirements for the Children Administrations
Practice Model
A clinical framework for child welfare practice
that
-
- Is based on a theoretical foundation
- Emphasizes engagement with families
- Is responsive to clients backgrounds and
cultures - Supports social workers and supervisors
- Works in tandem with FamLink
- Has been implemented elsewhere with positive
outcomes
6Solution Based Casework
- Family Development Theory
- (Carter and McGoldrick, 1999)
- Solution Focused Theory
- (Berg, 1994, DeShazer, 1988)
- Cognitive Behavior Theory
- (Relapse Prevention Therapy)
- (Marlatt Gordon, 1985, Pithers, 1990, Beck,
1993)
7Solution Based Casework
- A conceptual model that normalizes problems as
difficult situations in everyday life. - Focuses attention on understanding exceptions to
the problem as well as the problem itself. - Assists in identifying familys skills needed to
prevent, interrupt or escape high risk situations.
8Problem Based vs. Solution Based
- Diagnose pathology
- List their problems
- Dysfunction
- They dont want change
- It is up to me to decide
- Just the facts Maam
- Collect data for later
- Figure out in office
- Developmental issues
- Situations not working
- What could work better
- They are discouraged
- We can sort this out together
- What are their intentions
- Build a consensus now
- Leave with a direction
9Current Model of Case Planning
Juvenile Services
FPS
CSO
Natural Supports
Courts
Drug Counseling
Family Support
Family
Parenting class
Anger Management
Foster Care
Health
Family Members
CPS
Law enforcement
10Case Planning
- One plan for the family, integrated with all
agencies providing services - Family plans that focus on how the family
approaches development tasks - Individual plans that focus on high risk
behaviors or conditions that create safety issues
for the children - Bottom line is child safety
11New Questions from Supervisors
- What everyday tasks is the family dealing with?
- What is the familys understanding of why you are
working with them? - What does the family want?
- How are you building a consensus with the family?
- When were things better for this family?
- What is the familys plan of action?
- What is the Mothers individual plan?
- On a scale of 1-5 where does the family feel they
are towards achievement of their action plans?
12What is the Research Supporting SBC?
- The following data is based on studies that
compared families in Kentucky who had been
assigned to social workers who were trained in
Solution Based Casework with those who were
assigned to social workers who had not been
trained in SBC.
13Research Findings
- Case plans were more complete
- Families were more likely to follow-through with
referrals for services and complete assigned
tasks - Fewer legal actions were filed
- Social workers were more likely to have direct
contact with collaterals
14Family Strengths Identified
- The average number of strengths identified by
workers in the SBC were 2.63. - The average number of strengths identified in the
non-SBC group were 1.67.
15Case Outcomes Goals Reached
- The mean number of goals achieved by the SBC
group was 6. - The mean number for the non-SBC groups was 1.09.
16Case Outcomes Goals Reached
- SBC was especially successful with families in
which there had been previous CPS involvement.
17Families with an SBC-Trained SW Were More Likely
to Say
- My family is safer and more secure with the help
of this agency or by referrals made by this
agency. - My family is better able to care for themselves
because of services provided by this agency. - If I had a crisis in my family I would consider
asking for services provided by this agency. - The staff were professional and polite.
- I feel that this agency treats me with respect
and dignity.
18Foster Parents and Pre-Adoptive Parents Working
with SBC-Trained Social Workers
- Were More Likely To Say
- Their foster child received quality visits from
the social worker. - Families in the community are helped to be more
independent, safe and secure. - They are provided with the resources needed to
care for the children. - The staff are professional and courteous.
- The agency values my work with families and
children.
19Implementation Plan
- Solution Focused Management training and ongoing
peer consultation - Solution Based Casework classroom training for
supervisors - Coaching for supervisors
- Training of three pilot offices
- Peer consultation and support for supervisors in
providing clinical supervision in the SBC model - FamLink tools
20Implementation Time Line
21- We must adjust to changing times and still hold
to unchanging principles. -
- Jimmy Carter