Child Welfare webinar (rev) - ncjfcj.org Welfare webinar (rev).pdf · involved with the child...
Transcript of Child Welfare webinar (rev) - ncjfcj.org Welfare webinar (rev).pdf · involved with the child...
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In Child Welfare,We Believe Moms Matter
http://promising.futureswithoutviolence.org/
• Use the We Believe Moms Matter card as an
engagement and educational tool with mothers
involved with the child protection system.
• Describe elements of safe and effective practice for
CPS cases involving intimate partner violence.
• Value active collaboration between CPS staff and providers of services related to intimate partner
violence.
Objectives
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What are our goals in Child Welfare?
• Keep children safe
• Facilitate building of protective capacities so families can keep children safe at home and
insure their well‐being
Vicarious Trauma
Vicarious trauma is a
change in one’s thinking
[world view] due to
exposure to other
people’s traumatic
stories.
(Dr. David Berceli, 2005)
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Common Reactions to Working with Survivors of Trauma
• Fear
• Sleep disruptions
• Depressive symptoms
• Feeling ineffective or hopeless
• Recurrent thoughts of threatening situations
• Reacting negatively to clients
• Thinking of quitting
• Chronic suspicion or judgment of others
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There can also be strengths that come from working with clients who have experienced trauma • witnessing others overcome adversity
• recognizing people’s capacity to heal
• reaffirming the value of the work you do
• gift of hope
Vicarious Resilience
Vicarious resilience can buffer the effects of stress associated with vicarious trauma, strengthen our motivation, and give us new, meaningful perspectives.
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• In ourselves
• In our organizations
• With families
• Paradigm shift from "what is wrong" to "where do we want to go"
Develop capacity for resilience
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Domestic Violence
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Domestic violence includes a variety of tactics:
• Physical and sexual violence
• Threats and intimidation
• Emotional abuse
• Economic coercion
• Substance use and mental health coercion
• Use of children
• Undermining parenting
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Prevalence of Domestic Violence
(Black et al, 2011)
1 in 4 (25%) U.S. women report
having experienced
physical and/or sexual
violence by a partner.
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• 1 in 15 children/youth exposed to physical IPV between
parents (or a parent and the parent’s partner)
• Same rate of exposure to psychological/emotional IPV
• 90% of those exposed to physical IPV saw the violence
• 31% of children who witnessed physical IPV reported
being physically abused themselves ‐‐ findings for
psychological abuse were similarHamby, Finkelhor, Turner, & Ormrod, R. (2010, 2011)
Children’s exposure to IPV
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Potential impact of exposure
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Emotional
• Guilt about not stopping abuse
• Grief for family & personal losses
• Conflicting feelings
Cognitive
• Blame others• Think it is okay to use violence
• Develop rigid stereotypes about gender roles
Behavioral
• Act out or withdraw• Truant• Excessively seek attention• Self abuse
Social
• Isolation• Problems with peer relationships
Physical
• Somatic complaints• Regression
Risk and protective factors
Risk factors
• Severity, frequency and proximity
to the violence
• Age, and developmental stage at
which exposure began
• Multiple forms of violence
• How child understands the
violence
Protective factors
• Consistent, caring relationships with
safe adults
• Opportunities for healing and
success
• Social emotional competence
• Community assets, concrete
resources and supports
• Racial and ethnic pride
• Skilled interventionists
Resilience can be supported by decreasing risk factors and by supporting/promoting protective factors.
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Why does a mother
stay in a relationship
when DV has occurred?
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• Mothers’ past and recent traumatic
experiences increase risk of the
following parenting problems with
their own children• Child neglect
• History of CPS reports
• Physical punishment
• Social support and taking care of one’s own needs are protective
factors that reduce likelihood of
these outcomes
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(Banyard et al, 2003)
Most Consistent Protective Factor for Children Exposed to Domestic Violence
Children’s emotional recovery
from exposure to DV depends
more on the quality of their
relationship with the non‐
abusive parent than any other
single factor.
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(Bancroft & Silverman, 2002)
Help mothers build resiliency –their own and their children’s
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Some mothers who face
severe stress may
compensate for violent
events by offering
increased nurturing and
protection of their
children.
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(Levendosky et al, 2003)
• Many moms may not recognize
how early trauma can affect their
parenting and how they react to
stressful situations.
• Increasing moms’ awareness
about the effects of trauma can
help them to understand their
own lives, make healthier choices,
and help prevent
intergenerational trauma.
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Polling question
• How confident are you that you have the ability to directly and positively influence a mother’s parenting, and/or view of herself as a parent?
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Improving Child Welfare: Universal Education with Mothersabout Childhood Trauma and Domestic Violence
• Assumes mom may have had trauma during
childhood and/or has experienced DV and will
benefit from knowledge, tools, and support
• Talking with all moms about your concern for
them can help bridge a better relationship
with you
• Empowers staff and helps with conversations
about how best to support mom relative to
potential barriers to being the mom she
wants to be
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• Never provide education about/or screen for domestic violence in front of a partner, a friend or family member
• Never use a family member to interpret domestic violence education or screening tools
• Never leave domestic violence information around or in a packet of materials without first finding out if it is safe to do so
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SAFETY First
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• Use the card ONLY on regular visits
when you have privacy with mom, and
she seems able to engage
• Think of it as a bridge to reflection and
understanding of current
circumstances . . .
• And a bridge to finding help and
resources to feel strong ‐‐ and to help
her parenting
• Messaging of hope for a better future
When to Do Universal Education
This is NOT for use during an active crisis!
You might be the first person to help her see the constellation of what affects her life and her kids’ lives
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Message: “We care about your children, and we care about YOU”
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What difference might it make to say these things to a mom, with compassion?
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You might be the first person to ever to give her information about domestic violence . . .
. . . or to help her see that substance abuse might be the way she learned how to cope
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(Trauma‐informed work) might involve offering access to trauma treatment or other healing modalities, (but) at heart, trauma‐informed practice is about creating environments and relationships that offer an atmosphere of safety, connection, and hope.
Carole Warshaw, MDDirector, National Center on Domestic Violence, Trauma & Mental Health
You can help mothers understand the impact violence has on children
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“Getting control over your feelingsis the best thing for both moms and kids”
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“Even little things can make a difference to your children”
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“Demonstrating resilience increases parents’
self efficacy—that is, their belief that they can
perform a task competently and effectively—
because they are able to see evidence of their
ability to face challenges, to make wise choices
about addressing challenges, and feel more in
control of what happens to them.”
(Raikes & Thompson, 2005)
“You can get the help and support you need and deserve”
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Universal education is a
complement to direct screening
for DV, substance abuse or
childhood exposure to abuse.
It doesn’t require disclosure for
her to get help and access next
steps!
1) Normalize activity ‐ "I've started giving thesecards to all moms —because we know there is stuff that can get in the way of you being the mom you want to be.”
1) Make the connection ‐ Create a sense of empowerment: “We really think you deserve support and help just like your child does—and a lot of times folks forget to think about how much you matter too. ”
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3) Open the card and do a quick review –
“This card talks about everything from parenting strategies to ways being hurt by a partner or hurt during your childhood can affect your health and parenting. In (about half) of my caseload the mom is being hurt by her partner and we know if we can help support mom it’s one of the best ways to support her child…"
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4) Pay it forward – “Even if this doesn’t apply to
you, you might know someone who could
benefit from this information. You could pass it
along to a friend, a family member, a neighbor
or a co‐worker. It might be really helpful.”
5) Make warm referrals‐ “On the back are great
resources, the DV hotline and also the
ChildHelp line, which is a 24/7 anonymous
hotline with helpful, non‐judgmental people
taking the calls. It’s a resource for parents if you
are ever feeling overwhelmed by what is
happening with your child and want to talk or
get ideas about strategies.”
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Consider Following Up with a Direct Question
“Are any of these things
you need help with today
or anything you would
like to talk more about?”
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• What do you need to be able to begin using a
“universal education” approach in your work?
• From yourself?
• From your supervisor or manager?
• From your organization?
• From your partners?
Tell us your thoughts using the chat box . . .
If Domestic
Violence is
Identified or
Suspected
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When a mom discloses domestic violence, say: “I am so sorry to hear that’s happening to you.”
“I want to help. What would be most helpful to you right now?”
Have a conversation, listen to understand
• Avoid jumping into “professional assessment” mode and
stay present in the conversation
• Seek understanding of her perspective, her worries for her children, and what she would/might have to give up to
achieve personal physical safety
• Ask questions to find resilience and problem‐solving
• Explore her support system, and the children’s
relationship to her partner
• Engage her in safety planning for herself and her children (hypothetical if no disclosure)
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Helpful Kinds of Questions to Ask
• Who has helped you the most? How did they help?
• Who would your kids say has helped THEM the most?
• What have you tried to keep yourself and your kids
safe? What else have you thought about trying?
• With everything that’s happening, where do you find
the strength to (get out of bed, get your kids to
school)?
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Helpful Things to Say/Questions to Ask
• In what ways does drinking or using drugs make your
partner’s behavior/violence easier to bear? In what ways
does it made your life harder?
• Safety planning with your children can help them feel
less scared, and they’ll know what to do and what NOT
to do. Have you talked to your kids about what to do if
your partner becomes really angry or violent?
• How do you think your partner will respond to us being involved? We know CPS involvement can make things
worse if we aren’t careful.
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Help mothers see their own strength, and imagine a better future
• Tell me about a time you felt stronger, stayed
clean/sober? What was different then? How were
YOU different?
• What do you feel proudest of as a parent?
• Five years from now, if someone asked your
children to describe their mom, what would you
hope they would say? How can we help you get
there?
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Safety Planning
“I want to think with you about what you can do to keep yourself and your kids safe.
• Who could you call that would help you? (if no one, “Have you ever thought about telling someone? What do you think it would be like to talk to them?”)
• Where could you and the kids go if you need to leave quickly?
• Do your kids know how to call grandma, or 911? Where could they go in the house/neighborhood if they feel scared?
• Who could call you every day to check in? How could you let them know if you needed help?”
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Provide a ‘Warm’ Referral
• “If you are comfortable with this idea I would
like to call my colleague at (the local DV
agency). She is an expert in safety planning
and talking through options that are available,
and can tell you about supports for you and
your children from her agency.”
The Role of the Domestic Violence Agencies and Advocates• So much more than just shelter services
• They provide training and community supports
• Beyond safety planning, advocates can help clients connect to additional services like:
• Housing
• Legal advocacy
• Support groups/counseling
• Children’s programs
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Surprisingly, many women . . . did not know about local or national resources from which they could get help. They said the only people they were likely to tell about a violent relationship were their friends or family members, who were not always supportive.
Lessons Learned From Home Visitation
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(Health e‐bulletin, 2014)
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Child welfare workers do not have to be experts to recognize and help clients experiencing domestic violence.
• You have a unique opportunity for education, early identification and intervention.
• And to partner with DV agencies to support the non‐abusive parent, andyour work.
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• “I’m going to need to talk to your partner, but I don’t need
to tell him/her what you or the kids have said. I’ll tell you
when we’re meeting, and check in with you after the
meeting. Help me think about what I can ask about, and
what I need to avoid.”
• “On a scale from 1 – 10, where 1 is “I can’t do this” and 10
is “I have everything I need to make this safety plan work”,
where are you now? What else do you need to move (up
one number)? What could I do to help?”
• “When can we talk again privately? Would you like a friend
to be there to support you?”
Before leaving the home
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Good Supervision:
• Is safe, non‐judgmental, and supports staff growth and self awareness
• Provides positive regard and caring
• Is regular and reliable
• Uses a strength‐based approach
• Provides space for reflection
A Trauma‐Informed Workplace is Essential
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Stress Management Tool: Relaxation Response
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(Benson H, 2000)
Focusing on your breathing (mindful breathing) helps to calm your brain → Relaxa on Response
• Creates state of deep rest/relaxation
• Increases brain activity in areas associated with attention focus and
decision‐making
• Releases chemical messengers in
brain that are calming and give sense
of well‐being
• Three good things about a co‐worker
• Three good things about your most recent child/parent interaction
• Three good things about yourself
• One positive thing you can do this week to take care of yourself
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Building Resiliency With Co‐Workers
(Adapted from Linda Graham, 2013)
Name It and Write It Down:
• www.fosteringresilience.com (resources for building resiliency in children and teens)
• http://www.nctsn.org/resources/topics/secondary‐traumatic‐stress (lots of resources on secondary trauma)
• https://www.futureswithoutviolence.org/secondary‐traumatic‐stress‐workshop/ (webinar recording)
• https://www.futureswithoutviolence.org/trauma‐informed‐approaches‐to‐domestic‐violence‐exposure‐adverse‐childhood‐experiences‐and‐resiliency/ (webinar recording)
• http://www.nctsn.org/sites/default/files/assets/pdfs/pfa_for_schools_appendix_c_self_care_checklist.pdf(self care checklist)
• http://traumastewardship.com/ (resources on vicarious trauma and burnout)
• http://www.acesconnection.com/ (connect with people using trauma‐informed/resilience‐building practices.)
• https://www.futureswithoutviolence.org/ (FUTURES website with lots of resources on violence) https://www.futureswithoutviolence.org/health/setting/ (other setting specific cards and tools)
• http://www.ncjfcj.org/ (NCJFCJ website with lots of resources on overlap issues)
• http://www.nationalcenterdvtraumamh.org/ (The National Center on Domestic Violence, Trauma & Mental Health website with lots of resources on DV and mental health)
• http://www.thegreenbook.info/ (Greenbook Initiative site)
• http://greatergood.berkeley.edu/ (Mindfulness and self care resources)
Additional resources
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Getting Help with Domestic Violence
National Domestic Violence Hotline1-800-799-7233
National Teen Dating Abuse Helpline1-866-331-9474
National Sexual Assault Hotline (RAINN)1-800-656-4673
http://www.acf.hhs.gov/programs/fysb/resource/help‐fv
Free and confidential help is available for victims of domestic violence 24 hours a day
FVPSA’s National and Special Issue Resource Centers
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National Health Resource Center on Domestic Violence (HRCDV) – www.futureswithoutviolence.orgResource Center on Domestic Violence, Child Protection
and Custody (RCDVCC) – www.ncjfcj.org/dept/fvdNational Resource Center on Domestic Violence
(NRCDV) – www.nrcdv.org and www.vawnet.orgBattered Women’s Justice Project: Criminal and Civil
Justice Center (BWJP) – www.bwjp.orgNational Center on Domestic Violence, Trauma, and
Mental Health (NCDVTMH) -www.nationalcenterdvtraumamh.org
FVPSA’s Culturally Specific Special Issue Resource Centers
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National Indigenous Women’s Resource Center –www.niwrc.orgAsian and Pacific Islander Institute on Domestic
Violence (APIIDV) – www.apiahf.org/apidvinstituteInstitute on Domestic Violence in the African
American Community (IDVACC) – www.idvaac.orgNational Latina Network for Healthy Families and
Communities - Casa de Esperanza www.casadeesperanza.org
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http://promising.futureswithoutviolence.org/
Thank you
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This was supported by Grant #90EV0414 from theAdministration on Children, Youth and Families,Family and Youth Services Bureau, U.S. Departmentof Health and Human Services.