SSPE, SPE, and Supervisor

 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 2

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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. 4

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 Inform training and development  Provide feedback to trainer  Measure change 6

Supervisor Consultation Philosophy

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

9 RelationshipIndividualization Personal/Professional Motivation Equalitarianism

 Individual Activity  Consider Previous Supervisor(s): ◦ Where would you rate them? ◦ What were they like? ◦ How did it make you feel?

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

 Expertise  Knowledge and Skill  Performance Expectations  Accountability  Process Orientated  Mentor  Analytical  Collaborator  Accessible  Approachable  Empathetic  Respectful

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Supervisor Consultation: Focus and Influence

 “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)

 Initial Impressions  Drawing premature conclusions  Overconfidence in judgment  Selective information gathering  Not adhering to systematic processes  The phenomenon of “The Need to Not Know”

“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

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Consultation Framework

 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.

 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

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Consultation Process: Preparation for Completing the Family Functioning Assessment

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

 Know the Case ◦ Review of information from Hotline; ◦ Reconcile information from Hotline in preparing for initial contact and preparing the worker.

 Know your CPI: ◦ Strengths ◦ Challenges ◦ Bias ◦ Over or Under Confidence ◦ Communication Style and Ability ◦ Engagement Strategies

 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

 Two Person Groups  Each person will be have an opportunity to practice: ◦ Know the Case ◦ Know the CPI ◦ Consultation

Consultation Process: Initial Contact Present Danger Assessment and Present Danger Safety Planning

 Assist CPI in assessing Present Danger and determining the need to develop Present Danger Safety Plans.

 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.

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

 Developing and Implementing Present Danger Safety Plans ◦ Confirm the danger threat identified; ◦ What resources are available immediately to control for present danger?

 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.

 Working in groups;  Review present danger plans for sufficiency;  Develop questions that may arise based upon the review of the present danger safety plan.

 Take Away from today: ◦ What did you find helpful? ◦ Questions that still need to be answered? ◦ More time spent on…? 40

Day 2: Case Consultation and Skill Building

 Overnight Thoughts? ◦ Questions from yesterday? ◦ Feedback from yesterday? ◦ Reflections from yesterday? 42

 Consultation Process: ◦ Information Collection ◦ Safety and Risk Determination ◦ Safety Planning Analysis and Impending Danger Safety Plans  Small Group Exercise: ◦ Case Application 43

Consultation Process: Family Functioning Assessment Information Collection

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.

 Observation of Consultation between Cindy and her Supervisor.  Consider: ◦ Diligence; ◦ Questions you may have for Cindy? ◦ Next Steps for Cindy.

 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.

 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.

Consultation Process: Family Functioning Assessment Safety and Risk Determination

The supervisor reviews a CPI’s documentation of the FFA and consults with him or her to confirm the FFA safety and risk determination.

 6 Domains of Information Collection; ◦ Each domain contains information to inform the domain and the overall implications for safety.

 Confirmation of Sufficient Information Collection: ◦ Information Domains; ◦ CPC’s are accurate; ◦ Information is reconciled; ◦ Danger threats are accurately identified based upon the information; ◦ Absence of danger is supported by the information; ◦ Risk assessment is accurate based upon the information.

Working in pairs; Discussion regarding:  What is their specific basis for determining sufficient information?  How do they determine sufficiency?

Impending Danger:  State of danger in which family behaviors, attitudes, motives, emotions, and/or situation pose a threat which many not be currently active but can be anticipated to have severe effects on a child at any time Danger Threshold Criteria ◦ Imminence ◦ Vulnerable Child ◦ Out of Control ◦ Severity ◦ Observable

Duration Consistency Pervasiveness Influence Continuance Intensity

Consultation Process: Safety Planning Analysis and Impending Danger Safety Plan

The supervisor reviews a caseworker’s documentation of the Safety Planning Analysis and consults with him or her to confirm the sufficiency of the safety plan.

 Impending Danger is clearly described in FFA documentation;  Level of effort demonstrates Reasonable Efforts;  Caregiver Involvement ;  Safety Plan is least intrusive and most appropriate for controlling danger;  Safety Plan is action oriented;  Safety Plan is logical and justifiably effective;  Conditions for return are supported by information

 Review safety plan;  Consider if you are in agreement with the developed safety plan;  Justify decision regarding agreement of safety plan;  Consider consultations questions or concerns that may arise based upon the review of the safety plan.

 Step 1:Discuss in detail and make sure it is understood how the Impending Danger is occurring in the family  Step 2:Identify essentially what must be controlled  Step 3: Determine what the safety plan must achieve  Step 4:Identify Necessary Safety Actions  Step 5:Amount and Frequency  Step 6:Consider Resources - formal/informal

 Well Thought Out;  Considers relationship between danger and control;  Formal and Informal;  Verification of safety service providers-capable, dependable, trustworthy;  Action orientated;  Level of Effort: Amount and frequency. 66

 Review safety plan;  Consider if you are in agreement with the developed safety plan;  Justify decision regarding agreement of safety plan;  Consider consultations questions or concerns that may arise based upon the review of the safety plan.

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 Take Away from Training: ◦ What did you find helpful? ◦ Questions that still need to be answered? 70

 Used to: o Inform training and development; o Provide feedback to trainer; o Measure change. 71

 Used for: o Professional growth and development; o Updating/refining training material content and exercises; o Measuring change 72

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