Module 4-Family Driven Care
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Transcript Module 4-Family Driven Care
Family-Driven Care
Values in the Child/Family System
and Using Values in a Cultural
Context
Learning Objectives
Define the core values of Family Driven
Care.
Demonstrate application of these core
values in practice.
Define resiliency and articulate its
application to working with children and
youth.
Articulate cultural differences in values.
2
Foundational Information
Children who receive services in the mental
health system generally fit the following
criteria:
They are considered seriously emotionally
disturbed - a term used to describe children with
significant difficulties.
The impairments can be emotional, mental and/or
behavioral.
The diagnosis meets the standard of DSM and
Includes significant disruption in a functional
domain.
Domains of Functional Impairments
Family
Educational
Community Activities
Exercise – Identifying Functional
Impairments
Complicated Etiology
Generally no one thing causes SED.
Factors that tend to predispose children
include:
Biology
Genetics
Environment including family, peers,
siblings, school
Natural developmental changes
Developmental Process
It’s important to understand that serious
disorders emerge in the context of
an ongoing developmental process and
shifting relationships within the family and
community.
Developmental Factors
Must be carefully evaluated and
addressed in order to:
Maximize healthy development
Remediate functional impairments
Enhance adult outcomes
Service Delivery
Children’s services can become quite
complicated as they are provided
among different types of service
providers.
School
Mental health
Juvenile justice
Child welfare
General health
Changing Models
Over the last several years the children’s
system of care has moved from a
“medical model” to a “social model”.
This is primarily due to parent/caregiver
advocacy.
Changing Model of Care
Traditional Model
Practitioner-based
Problem-based
Professional
dominance
Cure or cessation of
symptoms
Facility-based
Family Driven Model
Family-directed
Child-centered
Strengths-based
Skill acquisition
Quality of life
Community-based
Changing Model of Care
Dependence
Regimented
Reactive
Professional
supports
Empowerment
Least Restrictive
Preventative and/or
wellness-based
Natural supports
Education Program of the British Film Institute
Family-Driven Care
The MHSA states that family-driven care
will exist when:
The beliefs, opinions and preferences of
every child, youth and their family/caregiver
are a deciding determinate in service
planning at the individual level.
Family-Driven Care
Children/youth and families are a
significant determinant in program
development at the agency level and
They are integral to legislation and
appropriation at the policy level.
Family-Driven Care
Changes in the way children are served:
increased focus on families
provision of services in natural settings
greater cultural sensitivity
a community-based system of care
Important Principles
Families are the “expert” on their children.
There is shared decision-making between
the provider and family/care-giver.
Services are culturally appropriate/relevant.
Family support is important.
Important Principles
A holistic (integration of medical and social
model) approach is used.
The focus is strengths-based.
Care is individualized.
The family is defined broadly.
Peer Support is available for families.
Cultural Relevance
Child-centered services should be
culturally relevant and take into
consideration:
The family culture and norms
Cultural identity of the family
Ethnic identity of the family
Whether the child is struggling to
incorporate family culture within the
dominant culture.
Family Supports
Direct assistance with navigation,
education and information
Practical support – help with SSI, food
stamps, respite care
Support groups for information and
emotional support
Hiring “parent partners”
Exercise – Empowering Families
Considerations of the Child
Recent research has focused on the
adaptability/resiliency of children.
The child’s ability to self-right in the
presence of crisis or disruption to his/her
environment.
The implication is that skills can be taught or
modeled to improve a child’s ability to adapt and
improve resiliency skills.
Resiliency
Thought to be an inborn trait.
People have it to greater or lesser
degrees.
Resiliency skills can be taught.
Stressors can threaten resiliency.
Protective factors can strengthen
resiliency.
Resiliency
It is thought that utilizing the
principles of family-driven care in
treatment will improve resiliency in
children.
The Seven C’s of Resiliency
Developed by Kenneth Ginsburg, M.D.
Competence
Confidence
Connection
Character
Contribution
Coping
Control
Resiliency
In summary, the research shows that
the development of resilience in children is
most affected by an adult in their life who
believes in them and loves them
unconditionally.
Kids will live up or down to our expectations.
Exercise – Building Resiliency