Transcript Finding and Bringing out the Best in Children and Families

Needs & Wraparound
• Practice Patterns: How it Happens in
Wraparound
– Named facilitator looks for needs as they complete
the strengths “chats”
– Needs statements brought together as a team
– Family confirms accuracy or not
– Prioritized as most important as a team, with family
having primary say
Needs Statements
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What is needed to reach Vision?
Often represents barriers to the Vision
Needs help with . . .
Answer to the question - “why” (underlying need)
Not problems or deficits
Not Services
Written in a concise, brief manner (do not combine
several needs together)
• On average, 3 active need statements at a time
Before Needs Statements
Facilitator must first have:
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Created time and space to really listen
Written the “new story”
Established the family vision
Have a sense of what a job well done would
look like to the family
The Power of Reframing:
• Turning stumbling
blocks into stepping
stones
Reframing is not the
process of developing
excuses for harmful or
illegal conduct
Reframing Exercise
Problem Statement
1) Child runs away
2) Child is assaultive
3) Family is resistive
to services
4) Family is
dysfunctional
5) Child can not form
relationships
Possible Need
Potential Reframe
Understanding Needs
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Leads to real help
Builds trust and acceptance
Leads to shared understanding
Helps the family do it on their own sooner
Problems vs. Needs
A problem labels the issue
but gives us no direction on
how to help!
1) Child is ADHD
2) Parent has AODA issues
3) Family is always in crisis
A need lets us know what
drives the person to present
with an issue and provides us
with information on how to
deliver real help.
1) Sammy needs help
focusing on his school
work
2) Tanya deserves to be
loved by someone she
can trust
3) The Jones family wants
help resolving conflict
with local police
Needs & Individualized Service
Planning
• Focus on the “why” of a need not the “how” of it
– Needs to know that others see him as okay even when he
makes mistakes on homework rather than he needs to
complete his homework
• Use descriptive terms
– To learn, To know, To experience, To feel, To see, To have,
To be
• Deal with the “big” stuff
– Families deserve to know their teams are dealing with
their larger challenges
Goals and Needs are Different
• Goal
– Is something I can
imagine for someone
else
• “You need to get into
treatment”
– May address system or
adult mandates
• “You need to do this”
– Addresses needing “to”
• More of a command
• Need
– Is something I can imagine the
person saying if they could
• “I need help getting a life to be
sober for”
– Will address compelling
reason for the person
• “I need to do this so I can get that”
– Addresses needing “from”
• More of a compelling purpose
Services & Needs are Different
• Service
– Defines the action
– Three levels
• Existing service
• Intervention
• Support
– Frequent changes based
on new information
• Need
– Defines why do the action
– Unifying concept that cuts
across all three levels of
service
– Changes infrequently until
reports are “met need”
Sample Need: “I need to stop
using drugs”
Identify at least ten underlying
reasons for this statement
Exploring Unmet Needs as the
Basis for Behavior
4. Unmet Need
1.Describe the Behavior
3. Why would anyone
need to act that way?
2.What Happened Next?
Tips for Using the Needs “Egg”
• Consider the facts of the “last time”
– When, Where, What, Who
• What was next & how did others
respond?
• Brainstorm “10” reasons to explain why
anyone would need to act like that
• Apply what you know about the history &
context to the needs statement
Challenges with Needs &
Community Based Services
• BIG behaviors cause us to overlook need & react to
behavior
• Finding words to communicate unmet need
• Helping families find a language to communicate
the most important unmet need at the earliest
possible moment
• Increasing the precision of “fit” between what you
get and what you need
• Overburdening families with the responsibility for
“voicing” needs
• Mistaking service for need
• Mistaking goals for need
“Needs” Talk in Team Meetings
• When a team member disguises a service as
a need, i.e.
– He needs a special education placement or
– The family needs counseling
• Ask the team member
– What do you hope will be accomplished through
this?
– Why do you think this is important to the
person?
– How will you know when it’s been effective?
Creating Benchmarks
• How will the team know they are getting
closer to meeting the need
• What behavior will be observed
• What can be measured to help us know
we are getting closer?
Strategies
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Builds on Strengths/Be creative
Designed to Meet Needs
Use as many Natural Supports as Possible
Utilize Whole Team
Strategies may contain a service
Be Specific Who - What - How Often
Modify in Response to Changes or Progress
Tips for Creative Solutions
• Start with reviewing functional strengths
list
• Review the needs statements – Are they
really representative of the underlying
need?
• Return to the vision when you’re feeling lost
• Brainstorm at least ten options for each
need
Strength Based Planning
Strengths, Assets,
Preferences
Desired Outcomes
Individual & Family
Needs (Not Services)
Potential Resource
People
Action Plan based on functional Strengths &
Resources
A Well Written Plan
• Is written in the language of the family
• Is usable by the family
• Creates a road map for the family’s life to
improve
• Make sense and is clear to the whole team
• Reflects hope for the future
• Addresses the youth and family’s success
beyond their time enrolled in a program
Much of the content of this presentation was
provided to Wraparound Milwaukee by Pat
Miles, National Training Consultant
Contact: Pat Miles @patmiles.com
Presented by:
Mary Jo Meyers
Deputy Director
Wraparound Milwaukee
Contact:
E: [email protected]
P: 414.257.7521