5/10/2016. California Structured Decision Making Model Advanced Supervisor Training. Training Goals. Key Themes of Supervising SDM Practice

Transcription

1 California Structured Decision Making Model Advanced Supervisor Training Training Goals Supervisors will: Increase expertise in Structured Decision Making (SDM) practice in order to serve as resources for their staff; Learn ways to integrate SDM assessments and decisions into key supervisory processes; and Gain knowledge and skills to help motivate workers in their units to contribute to better outcomes through quality SDM implementation. Key Themes of Supervising SDM Practice SDM tools are prompts for practice that support shared assessment and decision making in partnership with families. People support what they have a hand in creating: Use of reflective inquiry supports professional skill development. Relationships matter: Effective interactions/relationships between supervisors and caseworkers support effective practices/relationships between caseworkers and family members. 1

2 Roundtable What are some supervisory strategies for: Supporting caseworkers in using the SDM model to guide decisions that result in the best outcomes for families? Helping caseworkers develop strong immediate safety plans with families? Encouraging caseworkers to use the structure of SDM assessments in their daily casework? SDM Tips P. Guide 59 Process of Implementation Improved outcomes Guide decisions Accurate completion Complete assessments Family engagement 2

3 Focus of Supervision and SDM Practice SDM Connections Managerial/ administrative Engagement and interviewing Supportive Voice of SDM in group supervision and case consultation Effective safety planning Developmental Behaviorally focused case planning Supporting use of reassessments in casework Case review Sharing SDM Assessments With Families Encourage caseworkers to: Use SDM assessments to prepare for interviews and family team meetings to ensure the gathering of information relevant to a key decision point. Share the purpose, structure, and results of the SDM assessments (not the tools themselves) with family members to support shared understanding, decision making, and planning. Things to Try Work with a caseworker to prepare for an interview, family meeting, or monthly contact using an SDM assessment. Coach/role-play with a caseworker about how to explain the purpose and process of assessment at key decision points. Coach/role-play with a caseworker about strategies for explaining results of an SDM assessment. 3

4 The Voice of SDM in Group Supervision and Case Consultation Facilitate any group consultation about/with families using the structures and definitions of the key SDM assessment. Combine Voice of SDM with other mapping and consultation frameworks to enhance critical thinking. Critical Role of the Supervisor in Group Supervision Solution- Focused Climate Coaching Mapping What is group supervision? A learning environment. It is a place to: Think Learn Reflect Collaborate Offer mutual support Grow 4

5 A Dialogue Structure for Any Conversation Key question to guide each stage of the process Overall, why are we meeting today? Is there anything that might pull our attention away from our focus today? (naming differences and impact fits here too) How do we want to work with each other? Is everyone here who should be? If not, what should we do to get them here? What do we want to walk away with today, from this meeting? (a plan, list, decision, etc.) What do we want to talk about? (could be actual safety mapping, safety circles, case consultation, etc.) What steps do we need to take from here? Who does what? By when? Next meeting date? What worked? What should we do differently next time? Stage of conversation Purpose Context Group Agreements Network/Stakeholders Desired Outcome Content Next Steps +/ Feedback Safety Planning Exercise Think about the best safety plan you have written or seen. Think about a safety plan that you struggled with or was not effective in controlling danger. What did you learn from each one? 5

6 Key Supervisory Strategies to Support Safety Planning Skills Understand the link between SDM safety assessment and safety plans. Know the essential elements of a well-written safety plan and how to write a rigorous plan. Provide support to caseworkers in the field related to identification of support networks and immediate safety interventions. Provide opportunities to write/review and improve safety plans during unit meetings. Essential Elements of a Well-Written Safety Plan The number of safety threats from the assessment that meet the threshold for removal Specific behavioral description of actions/inactions of legal parent that result in specifically described impact on the child that needs to be controlled A specific set of actions/changes that occur immediately so the present danger is controlled A way to monitor whether or not the plan is working A specific time limit for the plan to be in effect Signatures of agreement Hot Spots in Safety Plans Caregiver promises are the only intervention Lack of behavioral description, mentioning only caregiver action/child impact Safety planning without a legal parent Creating a safety plan for the family rather than with Domestic violence cases Violating parental rights and due process Writing a risk management plan No time limits No fail-safe measures 6

7 A Look at Two Safety Plans The SDM FSNA Informs Case Planning Explain the FSNA to the Family Comprehensive assessment of caregiver, family, and child functioning as it relates to safety and risk Identifies the most important needs that relate to safety and risk Identifies the most important strengths that can be used to build lasting safety Helps us reach agreements about the focus of the case plan A conversation, not a test! 7

8 Steps for Developing a Case Plan Pre-contact preparation Orient the family to the task and engage in FSNA conversation Construct shared danger and goal statements Identify and involve the network Break down goal statement into a set of key behaviors Identify formal and informal activities/ services that support development of new behaviors Develop a progressive visitation plan Document the plan Monitor, adapt, and strengthen Supporting Use of the SDM Model in Ongoing Casework Working With Families During Reunification Keep a sense of urgency: Be clear about timelines for decision making. Orient the parents to shared understanding of safety threats, risk, and the process for evaluating change. Expand the family s support network. Create planned, purposeful, progressive contacts and visits that take family wishes and culture into account. Create opportunities for parents to demonstrate acts of protection during visits. Expect challenges and the uneven path. 8

9 Orienting Families to the Reunification Process Explain the process (why, what, how). Review and clarify the harm/danger statements. Review and clarify the safety goal. Talk with families about Demonstrating Safety Think together: How can the parent demonstrate acts of protection during this time? Developing the Network Who cares about the child and parent? How can we get them involved? Share the danger statements and safety goals. Reunification Reassessment Starting risk level Progress toward goals Actions during visits Changes in safety Staying Focused: The SDM Connection Reunification Reassessment Key Questions: 1. Reduced risk level = low or moderate Includes no new reports and progress toward case plan goals = meaningful behavior change 2. Visitation frequency and quality = consistent demonstration of acts of protection during visits that mitigate the danger 3. Safety threats resolved = safe or safe with plan now Some actions More actions Regular actions Critical Case Reviews 9

10 Prompts for Critical Case Review Child death/ near death Headline Political pressure You know something went wrong Types of Critical Case Reviews Formal Highly structured Process may be specified in policy or law May involve outside reviewers Stay clear unless asked Informal For your own knowledge NOT during someone else s formal critical case review Incorporating SDM Assessments Into Critical Case Reviews P. Guide 71 Over entire span of contact with family: Referrals» Were SDM assessments done?» Were they done accurately?» Were recommendations followed or explanations given for alternatives? Cases» Were SDM assessments done?» Were they done accurately?» Were recommendations followed or explanations given for alternatives? 10

11 Steps P. Guide 72 Create timeline of key decision points. Look for expected SDM assessment for each point. Review each assessment found for accuracy (narrative vs. definitions). Was recommended action taken for each assessment found? Referral Segment P. Guide 73 Case Segment P. Guide 74 11

12 Tips Use SafeMeasures history pages to get quick comprehensive details about each case and each referral. Use websdm to quickly gather assessments from each case and each referral. Critical Case Review Critical Case Review Handout Critical Case Review Handout Critical Case Review Forms Use blank critical case review grids. Review materials provided. Enter each referral and each case. Enter dates in Column 1. Determine whether SDM assessments were completed. (2)» If so, were they accurate? (3)» If so, was correct action taken? (4) 12

13 Debrief 13