Authentic Assessment & Screening Lilly Irvin-Vitela, MCRP President, Common Worth, LLC Relationship-based Approaches to Evidence-based Tools

Session Description Professional values and practices around relationship-based and evidence-based screening and assessment have a dynamic tension that can lead to frustration and confusion or motivation and insight for families and practitioners alike. The tipping point toward positive outcomes is grounded in intention and reflective practice. In this session participants will discuss and explore how to use screening and assessment to strengthen their working alliances with families and improve family and child outcomes.

Learning Objectives  Discuss and affirm best practices to get the most value from screening and assessment  Explore person-centered strategies to strengthen service delivery  Increase understanding of purpose and intent of 5 home visiting screening Abuse Assessment Screen Childhood Experiences Survey Edinburgh Postnatal Depression Scale, EPDS Perceived Stress Scale  Develop an action plan for effective screening and assessment

Screening and Assessment is… a. A necessary evil. b. An interruption to the “good stuff.” c. A time burden. d. A critical aspect of culturally responsive and individualized service delivery. e. All of the above. f. None of the above.

What Strengths and Strategies Are You Already Using to Make it Authentic?

Best Practices MI Adherent Screening and Assessment Practices

Acceptance- Person-Centered Accurate Empathy Acceptance Autonomy Absolute Worth Affirmation Miller, W. R., & Rollnick, S. (2013) Motivational Interviewing: Helping People Change New York: Guilford Press. p. 17

NOT Person-Centered Impose Own World View Rejection Coercion Judgment Assessment Miller, W. R., & Rollnick, S. (2013) Motivational Interviewing: Helping People Change New York: Guilford Press. p. 17

Why Use MI Consistent Strategies?  More purposeful for the practitioner and the participant in services  Builds rather than break trust  More likely to result in positive change talk and positive behavior change

MI Skills-OARS  Open-ended Questions  Affirmation  Reflective Listening  Summarizing From Bayou Segnette State Park Blog

MI Skills- How to Offer Information  Evoke it from the client  Elicit-Provide –Elicit  Menu of Options  Emphasize Autonomy  Maintain Collaboration

Working with Discomfort Signs of Discord How do we know it when we see it?  Defending  Squaring Off  Interrupting  Disengagement  Our own mood or approach

Understanding Triggers Ours

Data is about People and Their Experiences Abuse Assessment Scale HOME Inventory Perceived Stress Scale EPDS, Edinburgh Postnatal Depression Screen Childhood Experiences Survey

Tip Sheets  Quick Facts about the Tool  Protocol  Pitfalls  Value to Families  Framing it for Families  Value to Home Visitors  Quick Facts about the Screening Topic  Tips for Supervisors  Reflective Activities for Staff

How to Use the Tip Sheets

How to Use the Supervisor Tip Sheets

How to Use the Tip Sheets

Using Screening and Assessment Results  Build trust  Build confidence  Plan services  Support family goals  Contextualize the home visiting relationship  Measure progress  Celebrate success

Action Planning for Front-line Staff Tool/Screen/ Assessment I ’ m still learning to use it with a family I can do it with limited support I can do it well I can do it well and teach it to others Next Steps Abuse Assessment Screen Attended training ________________ Role-played with ______ on ________ Observed HV when it was used on___ Childhood Experiences Survey Attended training _________________ Role-played with _______ on ________ Observed HV when it was used on_____ EPDS Attended training _________________ Role-played with _______ on ________ Observed HV when it was used on_____ HOME Inventory Attended training _________________ Role-played with _______ on ________ Observed HV when it was used on_____ Perceived Stress Scale Attended training _________________ Role-played with _______ on ________ Observed HV when it was used on_____

Action Planning for Supervisor Tool/Screen/ Assessment Staff still learning to use it with a family Staff can do it with limited support Staff can do it well Staff can do it well & teach it to others Next Steps Abuse Assessment Screen Attended training ________________ Role-played with ______ on ________ Observed HV when it was used on___ Agreed upon PD__________ Reflective activity ________ Outcome _______________ Data review _____________ Childhood Experiences Survey Attended training _________________ Role-played with _______ on ________ Observed HV when it was used on_____ EPDS Attended training _________________ Role-played with _______ on ________ Observed HV when it was used on_____ HOME Inventory Attended training _________________ Role-played with _______ on ________ Observed HV when it was used on_____ Perceived Stress Scale Attended training _________________ Role-played with _______ on ________ Observed HV when it was used on_____

Contact info for the author of the modules Lilly- LinkedIn! Lilly Irvin-Vitela Website Phone