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UCLA Center on Child Welfare. Enhancing Strengths/Needs Based Practice: Effectively Assessing Behaviors to Meet the Unmet Needs Of Children and Families Day 1. Review. Introductions Housekeeping Agenda. Learning Objectives. Knowledge Skill Value Review Adult Learning Styles:

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ucla center on child welfare
UCLA Center on Child Welfare

Enhancing Strengths/Needs Based Practice:

Effectively Assessing Behaviors to Meet the Unmet Needs Of Children and Families

Day 1

review
Review

Introductions

Housekeeping

Agenda

learning objectives
Learning Objectives

Knowledge

Skill

Value

Review Adult Learning Styles:

Kinesthetic

Auditory

Visual

links to
Links to:

Federal Outcome Goals

Safety

Permanence

Child & Family Well Being

DCFS Strategic Plan

Katie A. Lawsuit & Initiative

Collaboration with DMH

links to1
Links to:

Paradigm/Practice Shifts:

Quality Service Review QSR

Core Practice Model

Coaching and Mentoring

slide6
Defining Social Work (Case Work) Practice:

CORE PRACTICE MODEL (CPM )

Basic knowledge, Foundation of CPS, Legal mandates

D R A F T

scsw led coaching mentoring support to do the work
SCSW Led Coaching & Mentoring: Support to do the Work!

Facilitate REGULAR individual & group case conferences

Coaching to core practice & strength-need practice skills while also enhancing safety decisions

Create a learning environment characterized by support and mutual trust

Oversee quality of services and practice

Opportunities to review success!

parallel process
Parallel Process

Administrators

Supervisors

Social Workers & Collaborative Partners

Parents & Caregivers

Children

ice breaker activity
Ice Breaker Activity

Connecting Behaviors

&

Underlying Needs

  • Blue behavior find white need
  • Green behavior find yellow need
  • Introduce yourselves
  • Discuss how the behavior and need connect
  • Prepare to share with the large group
setting the foundation
Setting the Foundation

What is:

Enhanced Strengths Needs Based Practice?

present casework cycle responsibilities
Present Casework Cycle & Responsibilities

Interaction with a family from Hotline to:

Emergency Response

Dependency Investigation

Intensive Services

Family Maintenance

Family Reunification

Adoption

Legal Guardianship

smith family vignette
Smith Family Vignette

Denise

John

Mark

Grandmother

Patricia

Uncle Patrick

Jack

Robert

Christine

*Note the Family Strengths

strengths needs a ctivity
Strengths Needs Activity

Select a reporter & recorder

Individually, list as many

strengths for each family

member on Handout #9

Advanced Strength Based Practice

Share strengths at your table and then with the large group

At your table, write the needs for the family on the flip chart paper & share with the large group

current practice
Current Practice

Behavioral Expression

Desired Results:

Completion/

Compliance

with services

Child

Safety

Assessment

Intervention Solutions:

Services

enhanced strengths needs p ractice
Enhanced Strengths/Needs Practice

Behavioral Expression

Assessing

Underlying

Need:

Strengths Based Practice

Engagement

Teaming

Intervention

Solutions

Strategies Services

Child Safety

Desired Results:

Awareness, Understanding, Lasting Behavioral Change

slide16

Why:Enhanced Strengths Based Practice

Enhances our case management/social work skills

Helping families engage to motivate change

Supports lasting change for families

Moves us from:

Solution Focused

Strengths

Deficits

Problem Focused

assessing family child behaviors to identify meet the underlying needs ensuring child safety
Assessing Family/Child Behaviors to Identify & Meet the Underlying Needs Ensuring Child Safety

Adapted from Marty Beyer, Ph.D.

Cultural Competency

Family/Child Needs

Child Safety

Formal & Informal Support Systems

behind behavior the challenge of appreciating child youth needs
Behind Behavior:The Challenge of Appreciating Child & Youth Needs

Their behaviors are visible, their needs are not

We have to look behind the child’s behavior to understand their needs

We want their behaviors to change

Addressing the needs behind the child/youth’s behaviors can be the most effective way to ensure safety and support their feeling successful

behind behavior the challenge of appreciating child youth needs1
Behind Behavior:The Challenge of Appreciating Child & Youth Needs

“Underlying needs” sounds new and different

Their behaviors are easy for everyone to talk about, but “underlying needs” is not in everyone’s vocabulary

At DCFS, we are not used to talking about underlying needs.

behind behavior the challenge of appreciating child youth needs2
Behind Behavior:The Challenge of Appreciating Child & Youth Needs

We are accustomed to interventions based on behaviors

Underlying needs are very diverse and decision making should reflect a child’s uniqueness

Children’s behaviors are often a response to trauma

Developmental Trauma Disorder,

Bessel A. van der Kolk, MD

trauma based needs the challenge of appreciating child youth needs
Trauma Based Needs:The Challenge of Appreciating Child & Youth Needs

When we use the term “needs” often these are family needs

Meeting the family’s needs supports the desired outcome of meeting the child’s needs

behind behavior the challenge of appreciating child youth needs3
Behind Behavior:The Challenge of Appreciating Child & Youth Needs

We are accustomed to interventions based on behaviors

Underlying needs are very diverse and decision making should reflect a child’s uniqueness

When we use the term “needs” often these are family needs

Meeting the family’s needs supports the desired outcome of meeting the child’s needs

behind behavior the challenge of appreciating child youth needs4
Behind Behavior:The Challenge of Appreciating Child & Youth Needs

When we use the term “needs” often these are services disguised as needs

A stronger plan gets developed when the child’s strengths and needs are identified first and then services are tailored

Appreciating the child’s needs is easier after the strengths have been recognized

definition
Definition

Needs

VS

Needs Statements

identifying needs activity
Identifying Needs Activity

Safety

Shelter & Food

Permanence

Affiliation & Relationship

Well Being

Nurturance & Love

List as many needs as possible for children within the category you are given

Use strength based language

Think of children in different age groups

slide26
Safety from exposure to threats of harms

Safety from risk to self/others

Stability pattern

Permanency prospects

Living Arrangement

Health/physical well-being

Emotional well-being

Learning and development

Other Needs to Consider:

writing a needs statement
Writing a Needs Statement

Safety

Shelter & Food

Permanence

Affiliation & Relationship

Well Being

Nurturance & Love

Write a needs statement for Christine and Robert

Remember to link the underlying need to the identified challenging behavior/condition

why enhanced strengths based practice
Why:Enhanced Strengths Based Practice

Why do you think CSWs are not always as effective as they could be?

As a CSW, what is your role

in a family’s life?

slide30
Every individual, group, family and community has strengths

Trauma and abuse, illness and struggle, may be injurious but they may also be sources of strength

Assume that you do not know the upper limits of the capacity to grow and change. Take individual, group and community aspirations seriously

Modified from Lorrie Lutz & Dennis Saleebey, DSW

Principles of

Strengths Based Perspective

slide31
We best serve clients when by collaborating with them

Every environment if full of formal/informal resources

Caring, caretaking and context

Families have the right to make mistakes and learn from them

Know yourself and the families with whom you work

Principles of

Strengths Based Perspective

slide32

Believing in the client

Dialogue and collaboration

Empowerment

Healing and wholeness

Hope

Membership

Plasticity

Resiliency

Lexicon of

Strengths Based Perspective

slide33

What people have learned about themselves and others

Personal qualities, traits, virtues

What people know about the world around them

Talents people have

Cultural and personal stories and lore

Pride

The Community

Spirituality

A New Paradigmfor Discovering and Assessing Family Strengths

slide34

Balancing Strengths & Needs

Challenging Behaviors

Strengths

Underlying Needs

CSWs are Change Agents !

slide35

Give primacy to the clients’ perspectives

Believe that clients have the capacity to change

Discover what the clients want, their aspiration goals and dreams

Direct the Assessment toward personal and environmental strengths

Guidelinesfor Strength Based Case management

slide36

Make the assessment of strengths multi-dimensional

Discover the clients’ uniqueness

Use language the clients can understand

Avoid blaming

Avoid cause and effect thinking

Avoid diagnosing and labeling

Guidelinesfor Strength Based Case Management

strength based discovery questions
Strength Based Discovery Questions

Meaning questions

Exception questions

Possibility questions

Esteem questions

Perspective questions

Change questions

Support questions

research dr barry duncan
Research: Dr. Barry Duncan

Research shows that change is caused by:

55% already doing well

30% relationship

15% hope and expectations

discovering strengths
Discovering Strengths

Character Strengths:

Characteristics or descriptions of the individual, family, community, and social supports

A source of resilience, pride, hope, empowerment, beliefs within a cultural framework

discovering strengths1
Discovering Strengths

Mobilized Strengths:

How the character strengths can be used/mobilized/put into action by the individual and family

Support and enable the family to endure and cope with difficult situations, and to bounce back in the face of trauma

Can be used to achieve the identified outcomes of the family

discovering strengths activity
Discovering Strengths Activity

At your tables complete the activity worksheet:

Identify one participant to role play Denise

Identify the first participant to role play the CSW

Other table group members can support the process as needed

Using strength based strategies & techniques, identify Denise's character and mobilized strengths

Using strength based strategies & techniques, identify John’s character and mobilized strengths

discovering strengths activity1
Discovering Strengths Activity

Identify the second participant to role play the CSW

Other table group members can support the process as needed

Using strength based strategies & techniques, identify Grandmother Patricia’s character and mobilized strengths

Using strength based strategies & techniques, identify Jack’s character and mobilized strengths

bio psycho social assessment
Bio/Psycho/Social Assessment

Biological

Psychological

Sociological

National Association of Social Workers Definition of Social Work Case Management

Permanence Safety & Well Being

bio psycho social assessment1
Bio/Psycho/Social Assessment

Use this model to identify needs

A methamphetamine addict

  • Biological
  • Psychological
  • Sociological
strengths needs matrix
Strengths/Needs Matrix

Behaviors & Concerns

Client Hunches

CSW Hunches

Needs Statement

Desired Outcome

Functional Strengths

Services/Strategies

strengths needs matrix safety factors jack
Strengths/Needs Matrix:Safety FactorsJack

Review Safety Factors taken from the SDM Safety Assessment

Physical Abuse

Excessive Discipline

Emotional Abuse

Speak of the child in negative terms

strengths needs matrix challenging behaviors concerns jack
Strengths/Needs Matrix:Challenging Behaviors & ConcernsJack

Complete Column 1using the family vignette in a role play

One person will role play Denise

One person will role play the CSW

All others are observing and

Discuss with Denise the challenging behaviors she identifies for Jack

strengths needs matrix bio psycho social hunches
Strengths/Needs Matrix:Bio/Psycho/Social Hunches

Ideas, Beliefs & Thoughts

Feelings & Gut Reactions

Intuition & Projection

Based on

Research

Experience

Facts

Bias

strengths needs matrix bio psycho social hunches jack
Strengths/Needs Matrix:Bio/Psycho/Social HunchesJack

To complete Column 2

Returning to role play with Denise

Identify a different CSW

Other table members observe and support the CSW as needed

Discuss with Denise her hunches regarding what is driving Jack's challenging behaviors using the Bio/Psycho/Social Model

strengths needs matrix bio psycho social hunches jack1
Strengths/Needs Matrix:Bio/Psycho/Social HunchesJack

To Complete Column 3

Individually eachCSW:

List your hunches regarding what is driving Jack's challenging behaviors using the Bio/Psycho/Social Model

Share your hunches with your table

strengths needs matrix identifying underlying needs jack
Strengths/Needs Matrix:IdentifyingUnderlying NeedsJack

To complete Column 4

Returning to role play with Denise

Identify a different CSW

Other table members observe and support the CSW as needed

Denise and CSW share their hunches

Using the hunches, Denise and CSW:

Identify Jack’s underlying needs

Select three needs for Jack that

address the initial safety factors

review writing needs statements
Review:Writing Needs Statements

Developed with the family

Written in the family’s language

Written in strength based language

States how the family will “look” when the needs are being met

Reframes the problem

Clarifies understanding of the underlying issues

Supports the family’s vision

Prioritized

Linked to safety, permanence and well being

strengths needs matrix needs statements jack
Strengths/Needs Matrix:Needs StatementsJack

To Complete Column 5

Continuing to role play with Denise

Identify a different CSW

Other table members observe and can share ideas as needed

Write three needs statements for Jack based on Column 4

Write statements on flip chart paper

strengths needs matrix desired outcome change jack
Strengths/Needs MatrixDesired Outcome/ChangeJack

To Complete Column 6

Continuing to role play with Denise

Identify a different CSW

Other table members observe and can share ideas as needed

Discuss what the desired outcome/change in behavior will look like for Jack when the underlying needs are met

Use Strength Based Language

transfer of learning
Transfer of Learning

Complete the Strengths/Needs Assessment Checklist

Complete the Supervisory Support Questions and hand them in anonymously

Identify one case in which you will implement the Strengths/Needs Matrix

Receive a blank Strengths/Needs Matrix for your selected case

preparation for day 2
Preparation for Day 2

Highlight’s of Day 2 Agenda

Remember to bring back your binder

Prepare to share:

Strengths/Needs TOL Day 1

The safety factors and your initial Bio/Psycho/Social hunches from your selected case for the Strengths/Needs Matrix

closing and evaluations
Closing and Evaluations

Complete your evaluation

Have a fantastic evening!