Clinical Supervision in CPS and FVS Safety Risk Critical Thinking.

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Presentation transcript:

Clinical Supervision in CPS and FVS Safety Risk Critical Thinking

Competencies  What to look for in determining the quality of investigations and assessments  How and when to review safety and risk assessments  When to keep a case open for services  Helping staff determine when progress has been achieved  Helping staff organize and use effective time management  Keeping the focus on safety during monthly supervisory conferences and case staffings  Practice through case staffing

Overarching Themes Safety & Risk Engagement & Interviewing Skills Critical Thinking

Safety Framework

Child Safety Framework

Gathering Information Gathering Information to determine if Danger Exists 1. What is the nature and extent of maltreatment? 2. What surrounding circumstances accompany the maltreatment? 3. How does the child/children function on a daily basis? 4. How does the parent/caregiver discipline the child? 5. What are the overall parenting and child care practices? 6. How does the parent/caregiver manage his/her own life on a daily basis?

Assess Gather Information from the gathering information Assess 17 safety threats 5 Safety Threshold Criteria 1. Severe consequences to a child 2. Immediate or will occur in the near future 3. Vulnerable child in relation to the safety threat 4. Out-of-Control: No responsible parent or adult in the home that can prevent the threat 5. Behaviors, conditions, etc. are specific, observable and clearly understood

Safety Plan Analysis 1.There is a parent/caregiver or adult in the home. 2.The home is calm enough to allow safety providers to function in the home. 3.The adults in the home agree to cooperate with and allow an in-home plan. 4.Sufficient, appropriate, reliable resources are available and willing to provide safety activities and tasks.

Written Agreement Clear about Roles and Duties Addresses All Threats Monitored Parents’ Promises Safety Plans

Structured Decision-Making  Actuarial/Research-based  Used to determine if services should be offered  Review to the definitions

1. Did you think that the initial assessment of the family was thorough? 2. Did you identify any biases? 3. Would you have approved closure of the case? 4. What was the quality of the supervisor review?  Let’s Practice: FAR

1. Did you think that the investigation was thorough? 2. Did you identify any biases? 3. Would you have approved closure of the CPS investigation? 4. What was the quality of the supervisor reviews?  Let’s Practice: Investigation

1. Did you think that the services provided were appropriate and did they address the safety issue(s)? 2. Did you identify any biases? 3. Would you have approved the safety plan? Why? 4. What was the quality of the supervisor reviews?  Let’s Practice: FVS

A Model for Case Consultation

Case Consultation Agenda: Let’s Review 1. Who is in the family and who is in the household? 2.What safety issues brought this family to our attention? 3.What were the thoughts, feelings and behaviors surrounding the incident? 4.What are the risk factors/condition of parents that contributed to those issues? 5.What are the family’s strengths and protective skills ? 6.Does the family understand the behavioral changes needed to keep the children safe? 7.Is there a case plan in place that addresses the safety issues and risk factors?

Review Case Example

Practice Case Consultation SAFE Not Sure Return Home