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Case Consultation and Skill Building: CPI

This workshop provides an introduction to supervisor consultation and skill building related to implementation of safety decision making methodology. It covers the philosophy of practice, intervention purpose and framework, and the process, practice, and outcomes of supervisor consultation during the Family Functioning Assessment.

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Case Consultation and Skill Building: CPI

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Presentation Transcript

  1. Case Consultation and Skill Building: CPI SSPE, SPE, and Supervisor

  2. Workshop Introduction • Context for the Training • Training Related to Implementation of Safety Decision Making Methodology • Fidelity of the Ongoing Family Functioning Assessment • Philosophy of practice • Intervention purpose and framework • Conceptual and criteria basis for practice and decision making • Process, practice and outcomes

  3. Participant Introductions

  4. Workshop Training Objectives As a result of this training, participants will be able to: • Identify an approach for supervisor consultation that effectively supports safety decision making during the Family Functioning Assessment; • Identify the process for supervisor consultation that targets key safety decision making points during the Family Functioning Assessment; • Identify areas of competencies that influence supervisor consultation; • Identify the focus and steps for supervisor consultation during the Family Functioning Assessment; • Practice consultation process for the Family Functioning Assessment.

  5. Workshop Agenda

  6. Baseline Knowledge Assessment • Inform training and development • Provide feedback to trainer • Measure change

  7. Session 1 Supervisor Consultation Philosophy

  8. “Keeper of the Culture…focus on productivity and people…”. David Barrett Leadership and Fundamental Perspective

  9. Humanistic Supervisor Consultation Model

  10. Reflection: My Supervisor Experiences • Individual Activity • Consider Previous Supervisor(s): • Where would you rate them? • What were they like? • How did it make you feel?

  11. Activity Report Out

  12. Considering Your Supervisor Style “Maybe even the discovery of identity of self is helped along more by being given feedback from a group of other people of how I affect them, what influence I have on them, how they see me and so on.” -Abraham Maslow

  13. What We Know…. • Expertise • Knowledge and Skill • Performance Expectations • Accountability • Process Orientated • Mentor • Analytical • Collaborator • Accessible • Approachable • Empathetic • Respectful

  14. Questions?

  15. Session 2 Supervisor Consultation: Focus and Influence

  16. Why Consultation is Important • “Tenured employees do not always perform better than novices in unstructured problem areas such as psychology, psychiatry and (social work).”- E.J. Johnson, 1988 • “Depends on the nature of the judgmental task…People, whether familiar with a domain or not, have difficulty integrating diverse sources of information in clinical judgments and tend to make certain kinds of errors…” (Gambrill, 1990)

  17. Common Decision-Making Errors that occur during the FFA • Initial Impressions • Drawing premature conclusions • Overconfidence in judgment • Selective information gathering • Not adhering to systematic processes • The phenomenon of “The Need to Not Know”

  18. Enhancing Worker Skills and Competencies “It is the responsibility of the supervisor as a case consultant to the worker to prevent the premature commitment to a position, point of view, judgment and prevent staff from becoming unwilling to consider alternative interpretations based on further information.” Gambrill, 1990 Critical Thinking in Clinical Practice

  19. Questions?

  20. Session 3 Consultation Framework

  21. Defining Supervisor Consultation • Expert, guided discussion at specific points/critical junctures in the FFA process that apply safety intervention criteria focused on promoting effective practice and decision making related to safety assessment, safety management, and determining the need to serve a family.

  22. Consultation Process • Five Supervisor Consultation Reference Points: • Preparation in Completing the FFA • Initial Family Contact • FFA Information Collection • FFA Safety and Risk Determination • Safety Planning Analysis and Safety Plan Development

  23. Questions?

  24. Session 4 Consultation Process: Preparation for Completing the Family Functioning Assessment

  25. The Consultation Focus Assist CPI in preparing to complete the FFA and anticipate any safety intervention issues at the point of initial contact with family members.

  26. Preparation in Completing the FFA: Step 1 • Know the Case • Review of information from Hotline; • Reconcile information from Hotline in preparing for initial contact and preparing the worker.

  27. Preparation in Completing the FFA: Step 2 • Know your CPI: • Strengths • Challenges • Bias • Over or Under Confidence • Communication Style and Ability • Engagement Strategies

  28. Preparation in Completing the FFA: Step 3 • Analysis of Hotline Report and Plan • Gaps in information • Relevant information for engagement • Engagement of collateral/partner agencies (CPT, LE, DV Advocate) • Consideration of present danger

  29. Practice: Preparation for Completing the FFA • Two Person Groups • Each person will be have an opportunity to practice: • Know the Case • Know the CPI • Consultation

  30. Activity Report Out

  31. Session 5 Consultation Process: Initial Contact Present Danger Assessment and Present Danger Safety Planning

  32. The Consultation Focus • Assist CPI in assessing Present Danger and determining the need to develop Present Danger Safety Plans.

  33. Initial Family Contact: Step 4 • Confirming Present Danger • Clear description of the child, caregivers, and home conditions observed during the contact with the family; • Danger is described to be immediate, significant, and clearly observable; • CPI’s plan to take action if present danger is confirmed.

  34. Practice: Initial Contact • Consultation Associated with Initial Contact • Verification of present danger. • Working in pairs-will provide consultation regarding the verification of present danger.

  35. Activity Report Out

  36. Initial Contact: Step 5 • Developing and Implementing Present Danger Safety Plans • Confirm the danger threat identified; • What resources are available immediately to control for present danger?

  37. Initial Contact: Step 6 • Approving the Present Danger Safety Plan: • Required within 24 hours after the development of the plan; • Best practice: before plan is put in place and confirmed with family; • Confirmation of actions to control for danger.

  38. Practice: Confirming the Present Danger Safety Plan • Working in groups; • Review present danger plans for sufficiency; • Develop questions that may arise based upon the review of the present danger safety plan.

  39. Activity Report Out

  40. Day 1: Take Away from the Day • Take Away from today: • What did you find helpful? • Questions that still need to be answered? • More time spent on…?

  41. Day 2: Case Consultation and Skill Building

  42. Day 2: Welcome Back • Overnight Thoughts? • Questions from yesterday? • Feedback from yesterday? • Reflections from yesterday?

  43. Agenda: Day 2 • Consultation Process: • Information Collection • Safety and Risk Determination • Safety Planning Analysis and Impending Danger Safety Plans • Small Group Exercise: • Case Application

  44. Session 6 Consultation Process: Family Functioning Assessment Information Collection

  45. The Consultation Focus The supervisor consults with the CPI throughout the FFA to remain informed regarding the status of the FFA and to provide guidance related to effective information collection.

  46. Observation: Supervisor Consultation for Information Collection • Observation of Consultation between Cindy and her Supervisor. • Consider: • Diligence; • Questions you may have for Cindy? • Next Steps for Cindy.

  47. Information Collection: Step 7 • Conducting FFA Interviews and Assessing the Significance of Information • Oversee FFA Interview Protocol; • Assist in conducting interviews; • Discuss sufficiency of information collection; • Assure FFA is proceeding in a timely manner; • Oversee safety management; • Assure due diligence.

  48. Practice: Information Collection • Small group exercise; • Review of consultation scenarios that may arise when reviewing FFA for information collection; • Consider consultation concerns and consider solutions to consultation scenarios.

  49. Activity Report Out

  50. Session 7 Consultation Process: Family Functioning Assessment Safety and Risk Determination

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