A Framework for Practice: The Best Interests Case Practice Model Summary Guide

Содержание

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Program Outline Overview of Best Interests Case Practice Model (BICPM) The

Program Outline

Overview of Best Interests Case Practice Model (BICPM)
The BICPM Summary

Guide
Strategies for leading the integration of the BICPM into your workplace
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Introductory Activity What have you had to leave behind to come

Introductory Activity

What have you had to leave behind to come to

this training?
Why did you nominate for this role?
What questions do you have about the Best Interests Case Practice Model and promoting its use among your staff?
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The Best Interests Framework

The Best Interests Framework

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How it all fits… The Children, Youth and Families Act 2005

How it all fits…

The Children, Youth and Families Act 2005
The Best

Interests Framework
Best Interests Conceptual Overview
Cumulative Harm Conceptual Overview
Best Interests Case Practice Model
Resource Guide Summary Guide
(under development)
Trauma and Development Guide Specialist Practice Guides
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Learning and Development Strategy Phase 1 – Preparing for Enactment Phase

Learning and Development Strategy

Phase 1 – Preparing for Enactment
Phase 2 –

Embedding Reforms
Phase 3 – Ensuring Lasting Cultural
Change
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Lead the way!!

Lead the way!!

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What we do and How we do it

What we do and How we do it

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Key Message We can only do the “What” we do effectively

Key Message


We can only do the “What” we do

effectively if we attend to “How” we do it
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Key Message The Best Interests Case Practice Model is a process

Key Message
The Best Interests Case Practice Model is a process

and a way of thinking.
It is not an event.
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What is it not? A checklist A tool to be “done”

What is it not?

A checklist
A tool to be “done”
A prescriptive document
A

manualised treatment model
An additional “task” to be added to people’s workload
All “new” concepts
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The Model as we know it…

The Model as we know it…

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Trauma and Development The parents of the children we work with

Trauma and Development

The parents of the children we work with

are often impacted by trauma themselves.
“Remain compassionate to the distress that children and families experience and mindful that anger and resistance usually reflect the hurt and overwhelm that lies beneath” (Summary Guide p.15)
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How trauma and deprivation can impact on parenting: Inability to regulate

How trauma and deprivation can impact on parenting:

Inability to regulate own

emotions
Never learning what healthy parenting looks and feels like.
Not knowing what to expect for healthy development
Dissociative states
Misinterpreting child’s normal behavioural and developmental responses as an attack.
Projecting image of perpetrator on to the child.
Maladaptive survival strategies, such as substance abuse.
Fear of child’s anger
Currently in fear or traumatisation.
Living in a state of chaos and crisis that crowds out anything other than survival
(Annette Jackson, Take Two/Berry Street)
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What we do and How we do it

What we do and How we do it

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Information-Gathering “Any risk or safety assessment or future casework is only

Information-Gathering

“Any risk or safety assessment or future casework is only

as good as the quality of information on which it is based”
BICPM Summary Guide
p.17
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Tools for Information-Gathering: How we do it Genograms Eco-maps Timelines Assist

Tools for Information-Gathering: How we do it

Genograms
Eco-maps
Timelines
Assist in drawing out the

family’s story
Assist practitioners to think and act systemically
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Analysis and Planning

Analysis and Planning

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Analysis The BICPM is based on a professional judgement model –

Analysis
The BICPM is based on a professional judgement model –

analysis supports workers to make considered judgements and to be able to clearly articulate the rationale behind these judgements.
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Professional judgement “It is important that practitioners are aware of the

Professional judgement

“It is important that practitioners are aware of the

problems associated with professional judgement. These problems include a lack of recognition of known risk factors, the predominance of verbal evidence over written, a focus on the immediate present or latest episode rather than considering significant historical information, and a failure to revise initial assessments in the light of new information”.
(Munro 1999)
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Resource Key reference: “Effective Child Protection Practice” (Eileen Munro, 2002) -

Resource

Key reference:
“Effective Child Protection Practice” (Eileen Munro, 2002)
-

relevant to all who work with vulnerable children and families, not just Child Protection practitioners.
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Analysis “Research and experience has shown that there is usually lots

Analysis

“Research and experience has shown that there is usually lots

of information available about the child and family, however reviews of practice often find that there was insufficient shared analysis to form a good plan”
Summary Guide p. 9
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Analysis – Risk Assessment The BICPM should not be viewed by

Analysis – Risk Assessment

The BICPM should not be viewed by practitioners

only as a risk assessment tool – it is a framework for practice.
The BICPM asks us to carefully analyse the information we have, taking into consideration historical, systemic and ecological factors, to inform our risk and needs assessment, as well as our planning, actions and review.
Key message: The BICPM does not become redundant once you have done your risk assessment.
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Definitions Harm/Cumulative Harm Impact Vulnerability Sustainability Culture Activity: define these terms

Definitions

Harm/Cumulative Harm
Impact
Vulnerability
Sustainability
Culture
Activity: define these terms

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Harm - Considerations What has happened or is likely to happen

Harm - Considerations

What has happened or is likely to happen

to the child?
Distinguish between harm and harm-causing behaviour
Describe the evidence of harm i.e. injuries, behaviours which indicate harm, developmental delay that has been assessed by a medical professional as non-organic, high-risk adolescent behaviours etc.
Harm = acts of omission and commission
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Cumulative harm Child’s unmet needs = harm to development over time

Cumulative harm

Child’s unmet needs = harm to development over time

‘Research evidence has shown that a child can be as severely harmed by the cumulative impact of less severe risk factors e.g. neglect and family violence, as by a single, severe episode of harm’
Summary guide page 8
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Impact - Considerations What effect has the harm had on the

Impact - Considerations

What effect has the harm had on the child’s

safety, stability and development?
How severe do you judge this impact to be?
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Vulnerability - Considerations Considering the child’s age, stage, culture and gender,

Vulnerability - Considerations

Considering the child’s age, stage, culture and gender, how

do these factors increase/decrease this particular child’s vulnerability to further harm?
Does the child’s particular temperament/personality impact on their vulnerability to further harm?
Does the child have a physical/intellectual disability that adds to their vulnerability to further harm?
Are there socio-economic factors that make this child more/less vulnerable to further harm?
Do family patterns indicate increased vulnerability to the child?
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Sustainability - Considerations Where strengths and/or protections have been identified, how

Sustainability - Considerations

Where strengths and/or protections have been identified, how do

we assess the likelihood that they can be sustained over time?
Strengths should not be confused with safety
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Culture - Considerations Culture is a broadly-defined concept that encompasses a

Culture - Considerations

Culture is a broadly-defined concept that encompasses a child’s

core identity, the meaning of that identity to that child and their family, and the wraparound scaffolding that maintains that cultural identity i.e. family/cultural connectedness (extended family, community), family rituals and customs, stories and music etc.
Key message: Culture is not a “Yes/No” question to be ticked off!!
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Thinking…

Thinking…

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Taking a good look…

Taking a good look…

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Putting the pieces together…

Putting the pieces together…

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Making sense of it all

Making sense of it all

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The 5 C’s

The 5 C’s

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Articulating Your Analysis “Practitioners need to be able to present evidence

Articulating Your Analysis

“Practitioners need to be able to present evidence

to the Children’s Court that shows the effects of harm…and future risks to children’s safety, stability and development. The Court will also want to know the rationale for professional judgements and decision-making, what assistance has been provided to the family and the outcomes of previous interventions, all supported by evidence.”
Summary Guide p.4
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Articulating your Analysis

Articulating your Analysis

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Articulating your analysis

Articulating your analysis

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Articulating your analysis

Articulating your analysis

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Articulating your analysis

Articulating your analysis

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Articulating your analysis

Articulating your analysis

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Activity – Articulating Analysis Harm and impact – what is going

Activity – Articulating Analysis

Harm and impact – what is going well/not

well for Jake and what are your thoughts about the reasons for these?
Pattern and history (constraints/strengths)
Beliefs and relationships (constraints/strengths)
Current environment (complicating factors, system/service factors) – (constraints/strengths)
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Key Message Any plans and recommendations that we develop must clearly

Key Message

Any plans and recommendations that we develop must clearly

and logically flow from our analysis.
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Action “Any action should be based on sound analysis and be

Action

“Any action should be based on sound analysis and be purposeful

towards engaging the family members in a change process”
Summary Guide p.38
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Action Engagement of the family in an action plan is fundamental

Action

Engagement of the family in an action plan is fundamental to

its success
True engagement is when the family signs on to a common agenda for change.
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Engagement “Possibly the strongest indicator of engagement is when you feel

Engagement
“Possibly the strongest indicator of engagement is when you feel

you can talk about change without fear of jeopardising the relationship”
(The Bouverie Centre 2006)
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Family Group Conferencing and Aboriginal Family Decision Making AFDM and FGC

Family Group Conferencing and Aboriginal Family Decision Making

AFDM and FGC give

a strong message of partnership and empowerment to the family.
AFDM is culturally appropriate
AFDM/FGC convenors exist in DHS in each region
We must give greater consideration to engaging absent fathers and their families
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Implications for Practice - Children “Effective therapeutic and enrichment interventions must

Implications for Practice - Children

“Effective therapeutic and enrichment interventions must recruit

other adults in a child’s life – caregivers, teachers, parents – to be involved in learning and delivering elements of these interventions, in addition to the specific therapy hours dedicated to them during the week.” (Perry, 2005, 38)

www.childtrauma.org

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Key Message “Where there is harm, referral to another service will

Key Message

“Where there is harm, referral to another service will

not ensure that the family will engage or that change will occur. There needs to be active casework to ensure that the family engages with the service in a meaningful way.”
(Summary Guide p.29)
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Review

Review

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Review “Review is the continual process of being curious about our effectiveness” Summary Guide p.45

Review
“Review is the continual process of being curious about our

effectiveness”
Summary Guide p.45
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Review “Review information frequently. Identify gaps. Be open to changing your

Review

“Review information frequently. Identify gaps. Be open to changing your

initial views rather than interpreting new information in a way that supports a pre-existing opinion of a child or family”
BICPM Summary Guide p.17
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The child’s lived experience

The child’s lived experience

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Spot the difference 1. “The child is at risk due to

Spot the difference

1. “The child is at risk due to exposure

to parental substance abuse, the parent has refused to access a treatment service and has not complied with Child Protection’s investigation. This child needs a safe and stable environment where her physical and emotional needs are met.”
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Spot the difference 2. “The child’s physical safety is at risk

Spot the difference

2. “The child’s physical safety is at risk as

the parent’s substance use occurs when the parent is the sole supervisor of the child. The child displays evidence of harm to her development in her delayed speech, her untreated eczema and her significant weight loss over the past month”
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The model is relationship based, child focussed, family centred ecological and systemic culturally competent

The model is

relationship based, child focussed, family centred
ecological and systemic
culturally

competent
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The model is (cont) developmentally and trauma informed gender aware and analytical dynamic and responsive

The model is (cont)

developmentally and trauma informed
gender aware and analytical
dynamic and

responsive
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The model is (cont) based on professional judgement strengths based outcomes focussed

The model is (cont)

based on professional judgement
strengths based
outcomes focussed

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Reflective Practice The BICPM requires reflective practice: “In Victoria there is

Reflective Practice

The BICPM requires reflective practice:
“In Victoria there is a strong

commitment to strengthening a culture of reflective practice so that the best interests of children are achieved” (p.49)
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Reflective Practice

Reflective Practice

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Forums for Reflective Practice Supervision Case conferences Peer supervision Team meetings

Forums for Reflective Practice

Supervision
Case conferences
Peer supervision
Team meetings
Individual reflection
Reflective Practice prompts

are in the Summary Guide (p.49)
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Activity: Where to from here? What are we doing well? Where

Activity: Where to from here?

What are we doing well?
Where do we

need to further develop in terms of Best Interests?
What strategies can I use to promote Best Interests:
Within my team
Within my organisation
Across services in my local area
Across my region
What networks/resources do I know of that can be a part of this strategy?
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Where to from here? Possible obstacles to embedding the Best Interests

Where to from here?

Possible obstacles to embedding the Best

Interests Case Practice Model?
Crisis driven; dealing with the urgent, neglecting the important
We’re too busy
I already act in children’s Best Interests, always have.
Workplace culture
Hierarchy
CRIS compatibility
CSO Registration process
Resources
Recruitment and retention
What can we as “champions” do to address these?
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Obstacles…

Obstacles…

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Program Outline Overview of Best Interests Case Practice Model (BICPM) The

Program Outline

Overview of Best Interests Case Practice Model (BICPM)
The BICPM Summary

Guide
Strategies for leading the integration of the BICPM into your workplace
Слайд 66

Resources every child every chance documents on website: The Best Interests

Resources

every child every chance documents on website:
The Best Interests Framework

The Best Interests Principles – Conceptual Overview
Child Development and Trauma Guide
Cumulative harm – Conceptual Overview
Stability – Guidance Paper
Strategic Framework for Family Services
Fact Sheets
Reference list at back of Summary Guide
Child Protection Practice Manual
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Resources –Specialist Practice Guides By end 2008 Working with vulnerable infants

Resources –Specialist Practice Guides
By end 2008
Working with vulnerable infants
Young people 10-14

years with problematic sexualised behaviours
Children under 10 years with problematic sexualised behaviours
Engaging parents: assessing and enhancing parenting capability/capacity
Working with young people
Working with families in which someone is abusive
By mid 2009
Stability – child and family
Stability in long term out of home care
Stability and issues associated with reunification
Cumulative Harm