Assessment, Analysis and Planning Further Communicating with parents P15 1.

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Presentation transcript:

Assessment, Analysis and Planning Further Communicating with parents P15 1

Keep the child at the centre 2

Learning Outcomes To develop relationships with child, family members and relevant professionals. 3

‘The problem with communication is the illusion that it has occurred.’ George Bernard Shaw

Why communicate with parents and caregivers? “ The Family is generally the first and most important source of information about the child and the family’s circumstances...The majority of parents want to do the best for their children… The importance of partnership working has been further reinforced by a substantial number of research findings and support studies... In the process of finding out what is happening to a child, it will be critical to develop a cooperative working relationship, so that parents or care givers feel respected and informed, that staff are being open and honest with them and that they in turn are confident about providing vital information about their child, themselves and their circumstances...” (Department of Health, Department for Education and Skills, and Home Office 2000) 5

Key Principles of Communication  desired outcome  listen  feedback  other signals  respect. 6

Barriers to Engagement  Families may be especially fearful of stigma or suspicious of statutory services (Thoburn 2005; Stanley et al. 2009).  Worker may lack confidence.  Professionals/staff fear of getting it wrong.  Anxiety in do the right thing for the child and family.  Fear of potentially violent family members.  Concern about future working relationship with the family members.  Pressure of work – limited opportunities to spend time with parents or to reflect on events. 7

Explaining assessment Some local authorities have developed leaflets or share written material with parents and families that have been produced by organisations such as Family Rights Group. It is good practice to have something written that covers:  What is an assessment?  Why is an assessment being carried out?  What will happen?  What will be expected of you?  What can you expect of us? A good template example can be found within Framework for Assessment of Children in Need and their Families. (Department of Health, Department for Education and Skills, and Home Office 2000, Figure 7) 8

Why is it important to get it right?  Often working with the most vulnerable people in our society.  They may struggle with communication generally.  Previous experience may make it hard for them to trust authority figures – for example, housing officer, police officer, social worker, health worker.  Likely to have previous experience of breakdown in relationships and communication.  Contact with agencies in relation to their failure to meet the needs of their children likely to lead to feelings of shame, guilt and embarrassment, fear (all barriers to effective communication). 9 Communication with parents and caregivers

Why is it important to get it right?  History may have impaired their ability to be honest and open – it may appear that they are just being difficult, oppositional or resistant.  It is important to understand their views and motivation.  Enables you to capture vital information to inform your assessment of the child and family’s situation.  Supports the building of a relationship with parents or caregivers.  Safeguards children and young people from neglect. 10

What do parents tell us? They want workers who are:  courteous;  turn up on time;  speak directly to them;  don’t use jargon;  listen and ‘really hear’ and accept what is being said;  give clear explanations for what is happening and why;  do what they say they are going to do and don’t over-promise;  are open and honest;  are patient and make enough time to understand;  treat them with respect and dignity. (SCIE 2004) 11

Basis for building effective relationships and communication 12  Be reliable, trustworthy and consistent.  Don’t be late for appointments as this can be an indication of unreliability and can send message that other things are more important.  Take time to explain why you/others have made decisions/ assessments affecting them and their children.  Share as much information as possible in a language that is clear and simple.  Make sure they have understood what was said in a meeting, in court or in a letter to them.  Listen to their views and make sure you know that you have listened and understood, even when you don’t agree with their point of view.  Give your undivided attention – switch off the mobile.

The process of helping  Establishing and building a relationship.  Helping the person explore their current situation.  Helping them formulate a clearer understanding of situation.  Establishing agreed aims and goals.  Planning strategies.  Supporting parents while the plans are implemented.  Evaluating or reviewing the results.  Ending. (Davies and Meltzer 2007) 13

Find the best way to communicate  In person.  By letter.  .  Consider communication impairments.  Via an interpreter.  At home.  At your office.  Meet on neutral ground. 14

Eliciting vital information  Interviews with individual parents or carers.  Discussion with pairs or family member groupings.  Taking parental/care giver histories.  Standardised instruments for example, Scales and Questionnaires.  Regular telephone contact – updates. 15

Active listening Concentrate on what the person is saying, listen carefully and try to understand. Indicate both verbally and non-verbally that you understand what they are communicating to you. Prompting and exploration skills Pick out the important points that the person is making and ask them more about this particular area – for example, the way they describe a person or a relationship. 16 Using your skills

Empathic responding Comment on your understanding of how the person might be feeling – for example, “It seems that you felt that you let your child down...” This may provoke relief at being understood, and gives the signal that it is ok to show feelings. Summarising A powerful way of communicating to the person that you have listened and understood. Also a good way of checking out that you did understand their meaning. 17 Using your skills

Enabling change Seek permission to explore alternative ways of looking at things – for example, “You said that Danny is deliberately winding you up... but I wonder whether there may be a different way of looking at his behaviour? Would you mind me suggesting an alternative explanation?” pause for approval “I wonder whether he was distressed due to...?” Negotiation skills This is not straight forward and will rely on the building of the relationship and utilisation of the skills above before compromising and reaching agreement with the family about the best way forward. Problem solving Will involve listening and prompting, summarising and challenging, negotiating decisions about priorities, goals, timescales and strategies. 18

19 Ensure effective communication at each key stage At referral stage Planning the assessment Undertaking assessment Analysis of information Forming judgements Reaching decisions Formulating plan Setting goals Agreeing timescales Reviewing progress

20 Further Reading Collins, S. (2010) Effective Communication - A Workbook for Social Care Workers. Part of the Knowledge and Skills for Social Care Workers series. London: Jessica Kingsley Publishers. Department of Health and Department for Education and Skills (2007) Good Practice Guidelines in Working with Parents with Learning Disabilities. Available online only: Lishman, J. (1994) Communication in Social Work. Birmingham: British Association of Social Workers/Macmillan.