Transcript Slide 1

AN OVERVIEW
WWW.option2.org
WHO ARE WE?
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Changing Trax is the overall name for two distinct programmes:
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Crisis Intervention Service ( 3 workers )
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Strengthening Families (1 co-ordinator)
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CP FIP (1 worker)
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Team Manager
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Admin Assistant
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Recruiting Volunteers
YCAP (1 worker)
REFERRAL PROCESS
• Children must be at risk of accommodation or
becoming subject to a Child Protection Plan
• Help children return home once they have been
accommodated.
• There is substance and/or alcohol misuse in the
family
• Importance of working together- adults and
children’s services
• Allocated Social worker
• CP FIP work – prevent referrals to social care
• YCAP working with prolific offenders
WHY WE DO IT…
RESEARCH BASE:
• Home Builder Model in USA
• Option 2 in Cardiff
• LAC and Registration figures
• Hidden Harm
WHAT WE DO….
• Short term, intensive service;6 to12 weeks 24
hour seven days a week then follow up at the
4,5,6,8,10,12 month
• Family crisis
• Intervention that are strengths based
• The goal of the intervention is to remove the
risks of harm to the child instead of
removing the child
WHAT WE DO…
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Work in partnership with families
Transparency
Families are the experts
Concentrate on behavioural change
Focusing on strengths and addressing
risks
WHAT WE DO…
• ENGAGING MEN:
• Huge resource within families
• Involving men equally in the process
• Practical engagement
• Flexibility in working hours
• In line with the Gender Equality Duty
WHAT WE DO….
• Working with domestic abuse where there
is:
• Insight
• Willingness to work
• Empathy
• Responsibility for behaviour
Some of the techniques we use
Solution Focused Practice; families as experts,
building on existing strengths, what you focus on grows
Motivational Interviewing; how can we help and support
people change without threats etc
Cognitive Behavioural Therapy;
understanding the
link between thinking and behaviour
Focusing on the positives does not mean
ignoring the negatives; work to address the
risks
MAINTENANCE
• Skills training
• Signposting
• Maintenance Meeting
• Follow Ups
• Booster Sessions
DEFINITIONS OF A CRISIS
• A crucial or decisive point or situation, a
turning point
• A point in a story or drama when a conflict
reaches its highest tension and must be
resolved
• An emotionally stressful event or traumatic
change in a person’s life.
• A time of extreme trouble or danger, often
one which threatens to result in unpleasant
consequences
THE FAMILY AND A CRISIS
• People are usually surprised at how much a
crisis or trauma affects them. It frequently
changes the way they think, their values,
habits, feelings and behaviour. It influences
most aspects of their life. A major event or
crisis in the life of one family member always
influences their family. Although it is made
up of individuals, a family is a unit. What
changes one member, changes the others.
UNDERSTANDING CHANGE
What does resistance look like?
• Argument: challenging what the worker has
said; questioning the worker’s authority;
expressing hostility towards the worker
• Interruption: talking over the worker; cutting off
the worker before they’ve finished
• Denial: characterised by blaming other people;
disagreeing with what has been said; making
excuses; minimising the impact of their
behaviour; expressing reluctance to change
What does resistance look like?
• Ignoring: person shows evidence of not
following the worker’s advice
• Inattention: characterised by not
answering the question; not responding at
all; sidetracking onto another subject
• Paying lip service: not doing what they
said they would do
Managing resistance
• Avoid arguments: arguments are
counterproductive and can strengthen the
other person’s original point of view.
• Resistance is a signal to try a new
approach!
• Roll with resistance: perceptions can be
shifted with the right approach. Invite new
perspectives rather than imposing them
HOW?
• Active Listening: respond to resistance with
non-resistance. Use reflection to check out what
the other person means, e.g. ‘so it sounds like
you are saying…’. This is less threatening
• Shift focus: don’t get stuck on a stumbling
block, change tactics e.g. look at things from
someone else’s perspective
• Agreement with a twist: e.g. agree with what
the person is saying but look at the bigger
picture, for instance the behaviour of the whole
family not just the individual
HOW?
• Emphasise freedom of choice: when
people feel that their freedom is being
threatened they often react by asserting
their liberty. Outline consequences if they
continue to behave in a high risk manner
• Reframe information: Give the person a
new way to look at the situation by
acknowledging their views but offering a
different interpretation
Socratic questions – eliciting self
motivation
• Problem Recognition:
• ‘What makes you think that your drinking
is a problem?’
• ‘In what ways have other people been
harmed by your behaviour?’
• What might happen if you don’t change
the way that you use drugs?’
Socratic Questions
• Eliciting concerns:
• Why are other people concerned about
your drinking?’
• Where will you be in 6 months if you carry
on hitting your partner?’
• ‘How do you feel about the children crying
when you hit them?’
• ‘In what ways does your drug use concern
you?’
Socratic Questions
• Eliciting Intention to Change:
• Tell me about the reasons you want to
change your behaviour?’
• What makes you think that you need to
change the way you communicate with
your partner?’
• What would you like your relationship with
your children to be like?’
Socratic Questions
• Optimism:
• ‘What makes you think that you could
change the amount that you drink?’
• How will your relationship with your
children improve when you stop hitting
them?’
• ‘What do you think would work for you if
you decided to change your drug use?’
AMBIVALENCE
• People are often ambivalent about
change, which can make decisions about
changing difficult to make
• Most behaviours have positive and
negative aspects
• Need to explore these positives and
negatives to help people become ‘unstuck’
OUTCOMES
• 70% of children living at home after
intervention
More consistent attendance at drug
treatment services
• Increased referrals to alcohol services
• Reduction in criminal activity
• Uptake of community resources
• Fits in well with Signs of Safety
CHALLENGES
Culture in Newcastle – risk averse,
serious case reviews
Maintenance of solution focussed
approach (worker ethos, lack of
resources and time)
Lapses
Dependency of some clients
Funding for two years
SUMMING UP
• Changing TraX is a service which helps
prevent children becoming accommodated
• Changing TraX service helps improve family
functioning.
• Changing TraX workers use a combination of
techniques when working with families.
www.option2.org
Joanna Noon 01912771381
[email protected]