Transcript Service Integration and Collaboration

Service Integration &
Collaboration
Integration of Services Training Series
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Goals: Module 5: Service Integration and Collaboration
• Deepen understanding of Service Integration and
Collaboration in practice.
• Identify and explore DCM/Investigator role,
competencies and practices that advance Service
Integration and Collaboration.
• Identify and explore existing and potential
supports to children and families with complex
conditions and issues.
• Strategize to improve individual and system
service integration and collaboration.
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Defining our Terms
• Integration of Services, or Integrated Services:
incorporation [of services] as equals into society
or an organization of individuals of different
groups (Webster’s Dictionary)
• Collaboration: to work jointly with others or
together especially in an intellectual endeavor
(Webster’s Dictionary)
• Teams: a number of persons associated together
in work or activity. (Webster’s Dictionary)
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System Partners
• A Few External Partners:
– Child Care
– School
– Children’s Medical Services
– Department of Juvenile
Justice
• A Few Internal Partners:
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Investigators
DCMs
Supervisors
CWLS
Program Specialists
– Workforce Development
– Mental Health Providers
– Substance Abuse Providers
– Domestic Violence Centers
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Goals for Plans Using the Recovery Model
• Respect for the child and/or family preferences
regarding treatment and providers, whenever
possible.
• Focus on developing recovery supports (services,
informal supports, long term plans).
• Identifying and making efficient effective plans
for co-occurring issues.
• Building a plan to support caregivers in providing
safety, stability and well-being for children for
their childhood.
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Small Group Activity
In your small group discuss:
When things go well, what are the benefits you experience in
working collaboratively with the following:
– Parents
– Providers and Educators
– Friends and Supports
– Agency Staff, DCM, Supervisor, Investigator, and Specialist
What are the challenges or worries you have had or dealt with
in including these partners in meetings?
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In twenty years…
“What would the
children say?”
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Session 2: Objectives
• Identify practices and competencies to
implement collaborative, family centered
practice.
• Review of the Practice Wheel.
• Develop Strategies for Partnership and
Collaboration across the Practice Wheel.
• Identify the role of the worker in helping
families become independent and functional
after our intervention.
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Progression of Teaming
• Where are you in
your practice?
• Where is the local
system?
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Cooperative Teams, Not Silos
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Family Centered Practice Model
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Giving people fish….
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Giving People Fishing Poles…
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Teaching Families to Fish….
Extended
Family
Family
Peer Support
GAL
Group
School
Leader
(PI or CM)
Friend
Mental
Health
Cooperative
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Session 3: Objectives
• Identify impact of specific issues and conditions
on parenting.
• Identify formal services and supports that can
increase child safety, permanency, and well-being
by condition/issue.
• Consider the importance of services and supports
along the continuum of the change process.
• Emphasizing service and team responsibility for
safety assessment.
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How Conditions impact Safety:
Or ‘Why are we Here in the first place?”
• The condition is part of an underlying dynamic
that led to allegations and verification of child
abuse and neglect.
• The condition may not be ‘cured’, but
management and recovery within this condition
could allow for safe and stable family life.
• Managing and recovery from this condition is
worthwhile in order to preserve the child’s
attachment and identity, when safety can be
created by the family and their supports.
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What we need to know….
• How the conditions in this family impacted
this child.
• What it will take to manage the condition, and
to resolve what can be resolved, so that child
maltreatment does not recur.
• What it will take from the services and
supports to provide recovery assistance when
vulnerabilities in this family come up again in
the future.
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Health and Development
• Key factors that impact safety in the Health
and Development Domain:
– Parent ability to physically and emotionally meet
the needs of the child based on the child’s
developmental phase.
– Child ability to receive the specific care the child
needs for optimum development and growth.
– Family ability to cope with and minimize toxic
stress for optimal functioning and safety.
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Mental Health Issues
• Key factors around child safety related to
mental health can include:
– Episodes or ongoing impairment in parents’ ability
to meet children’s needs.
– Challenges for parents who are raising children
with demanding mental health issues.
– Ongoing needs for advocacy on behalf of children
with emotional disturbance in the community.
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Domestic Violence
• Key factors to consider in families where there is
Domestic Violence are:
– Direct danger to children who are parented by a
batterer.
– Danger of being exposed to and present during violent
episodes.
– Impact of witnessing and living with a batterer.
– Impact of witnessing harm and life-threatening
situations against the survivor.
– Assuring safety during and after intervention.
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Substance Abuse Issues
• Key factors around child safety related to
substance abuse can include:
– Episodes or ongoing impairment in parents’ ability
to meet children’s needs.
– Child(ren)’s exposure to dangerous people in the
case of illicit drugs or addicts in the home.
– Danger of lapse and relapse in the future.
– Underlying causes and triggers for
use/lapse/relapse and the addiction create future
vulnerabilities for parents and children.
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Family Centered Practice Model
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Session 4: Objectives
• Apply concepts of integration and collaboration
to building formal and informal teams around a
family on your caseload.
• Identify strengths and needs for the family and
set of services/team members in your case.
• Assess and plan for self and system around
deepening practice in collaboration and
integration to meet the complex needs of families
we serve.
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Creating an Effective Service Array
• Providers know what they are doing.
• Families can draw from formal services and
from supports to work on a unified and
coherent plan.
• Providers know what other providers are
doing and are conversant in the conditions
that impact family functioning.
• The team of supports and services is basically
on the same page.
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Focus of the Work
• We work together to keep children safe, take care of
them, and support their lifelong sense of identity and
belonging (permanency).
• The vehicle to reaching the outcomes is first and
foremost to support and strengthen the family.
• When the family cannot provide the outcomes, the
team of supports and the family hold the child in
their hearts and minds to plan for her/his best
outcome.
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Activity: Functions of the Practice Wheel
• What functions of the practice wheel are we in right
now? (there may be more than one)
• How is this team addressing :
– safety
– permanency
– well-being
• What are the services and supports that are most
useful to this family right now?
• What more might I suggest we add to our work
together, based on the family’s specific needs and
their progress?
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Core Conditions of Helping and Engaged Practice
• Realness or
Genuineness.
• Acceptance, trust, and
valuing the person.
• Empathy and
Understanding.
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What’s in it for Us?
DCMs and Collaboration:
– Building more supports for families so that when it is time for closure,
the family has a ready network in place.
– Building in more help for transitions: getting others on the same page
assists the child and family in making transitions without ‘getting the
runaround’.
– More empowerment=Less direction by the DCM: the more families
create and run their own plans, the less the DCM has to micromanage
every task.
– Sharing the responsibility for safeguarding children: when the team
has a shared vision of safety, and feels mutually responsible, this helps
parents internalize safety and also provides more resources to provide
safety.
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