What’s Adoption Competency and Where Can I Find...
Transcript of What’s Adoption Competency and Where Can I Find...
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What’s Adoption Competency and Where Can I Find It?
AAICAMA Annual MeetingDenver, Colorado
May 5, 2013
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∗ What is adoption competence?∗ How is it an important concept in your work?∗ What specific topics do you hope we will discuss today?
What do YOU think?
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Where is Adoption Competence Needed?
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Adoption Competent Child Welfare Practice
∗ Federal Laws and Policies Impacting Adoption Placement
∗ Child/Youth Assessment and Preparation∗ Family Assessment and Preparation∗ Decision Making and Placement Selection in Adoption
∗ Negotiating Title IV‐E Adoption Assistance Agreements
∗ Post Adoption Services∗ Compassion Fatigue: Secondary Traumatic Stress Disorder, Burnout, Vicarious Trauma
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Child/Youth Assessment & Preparation Competencies
∗ Engage children & youth in planning for their present and future life experiences.
∗ Complete and document a comprehensive assessment.
∗ Assist children & youth to gain a better understanding of what has happened and what will be happening.
∗ Utilize a variety of tools and techniques to engage, assess, and prepare children & youth for permanency.
∗ Utilize the assessment and preparation process to inform placement decisions and develop service plans.
∗ Collaborate with others.
Competencies adapted from NRCA Adoption Competence Curriculum
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∗ Provide prospective adoptive parents with learning opportunities to empower them to self‐assess their interest in adoption and prepare to meet the needs of children and youth.
∗ Complete a family assessment and write a profile/home study/social history using a family empowerment model.
∗ Complete an assessment of the family’s suitability for a specific child or youth.
∗ Prepare current caregivers to make the transition to adopting.
Family Assessment & Preparation Competencies
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∗ Incorporate information from child/youth and family assessments to guide the selection of families with the best potential to meet children’s needs and desires.
∗ Use team decision‐making approaches to empower families and children/youth in making adoption decisions.
∗ Understand and manage the impact of personal bias in selection of adoptive families.
∗ Understand and follow laws and policies that address the selection of adoptive parents.
Decision Making and Placement Selection Competencies
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∗ Understand the services necessary in supporting families and children/youth after adoption and the essential elements of a successful post adoption services plan.
∗ Provide information about services and training topics availableto fully support families.
∗ Understand child/youth developmental stages and survival behaviors, and their effects on adoption preservation.
∗ Have knowledge of the process for crisis stabilization and how to develop a crisis contingency plan.
∗ Develop individualized plans for family support.
Post Adoption Services Competencies
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After Adoption…What Do Parents Say They Need?
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∗ More than 1,100 adoptive parents responded.∗ Greatest unmet service needs:
• Educational issues ‐ 40% • Finding mental health care providers ‐ 39%• Medical needs – 10%
∗ About 1/3 described their child(ren) as having no significant problems.
Need for Adoption Support ServicesNACAC Survey 2010
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Most Useful Supports Identified by Adoptive Parents
NACAC Survey 2010
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Barriers to Accessing ServicesNACAC Adoptive Parent 2010
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Top 4 Areas Where Advocacy for Improvement is Needed: ∗Adoption competency training∗Mental health services∗Training and education for parents∗Educational advocacy and support
Parent RecommendationsNACAC SURVEY 2010
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∗ Step 1: Establish the need for your program∗ Step 2: Determine the target audience∗ Step 3: Secure the funding∗ Step 4: Identify community partners∗ Step 5: Develop committees and identify
responsibilities∗ Step 6: Test a pilot program
An Approach to Developing Professional Competence: Certificate Programs
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∗ Decide program delivery: on‐site or distance learning, or both?
∗ Develop a pre‐program reading list∗ Support the program with strong advocacy and publicity∗ Develop a “next step” for continuing education∗ Be clear about what the “certificate” signifies∗ Build in some flexibility in attendance and payment time frames
Advice from Experienced Certificate Programs
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∗ Develop a Core Curriculum ‐ required and elective options∗ Assure cohesion and connections among and between the courses
∗ To assure continuity, assign a facilitator to attend every session
∗ Use top level instructors, including local experts∗ Coach instructors on adult learning theory and group management
∗ Reinforce transfer from theory into practice skills
Advice from Experienced Certificate Programs
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Selecting and Working with a Therapist Skilled in Adoption
∗ Newly updated Fact Sheet Available from Child Welfare Information Gateway at: www.childwelfare.gov/pubs/f_therapist.pdf
∗ Offers parents information on: • Professionals who provide mental health
services• Approaches to therapy• Treatment settings• Finding the right therapist• Working with a therapist• National resource organizations
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Child Welfare Information Gateway Guidelines for Selecting a Therapist
At a minimum, a therapist must:∗ Be knowledgeable about
adoption and its psychological impact on children and families.
∗ Be knowledgeable about the impact of trauma.
∗ Be knowledgeable about the role and impact of attachment on the mind/body for the developing child.
∗ Be experienced in working with adopted children and their families.
∗ Know the types of help available for adoption‐related issues and problems.
∗ Have received training in working with adoptive families.
Child Welfare Information Gateway (2012), p. 8.
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∗ How does the mental health professional involve parents in the treatment process?
∗ How does the mental health professional work with families when the adoption is transracial or transcultural?
QUESTIONS FOR ADOPTIVE PARENTS TO ASK WHEN INTERVIEWING A MENTAL HEALTH PROFESSIONAL
From the NRCA publication, A Guide to Developing an Adoption Certificate Program for Mental Health Professionals.
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∗ Is the mental health professional willing to work with other professionals involved with the family’s adoption, such as social workers, teachers and other mental health professionals?
∗ Can the therapist estimate a timeframe for the course of therapy?
∗ What are the mental health professional’s policies about reimbursement and scheduling?
QUESTIONS FOR ADOPTIVE PARENTS TO ASK WHEN INTERVIEWING A MENTAL HEALTH PROFESSIONAL
From the NRCA publication, A Guide to Developing an Adoption Certificate Program for Mental Health Professionals.
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Are they making this stuff up? Assessing the evidence for treatment approaches
Resources
∗ The California Evidence‐ Based Clearinghouse for Child Welfare www.cebc4cw.org
∗ National Clearinghouse on Families & Youth http://ncfy.acf.hhs.gov
∗ Blueprints for Healthy Youth Development www.blueprintsprograms.com
∗ National Child Traumatic Stress Network www.nctsn.org
∗ What Works Clearing House (Education) http://ies.ed.gov/ncee/wwc
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1. Well‐Supported by Research Evidence2. Supported by Research Evidence3. Promising Research Evidence4. Evidence Fails to Demonstrate Effect5. Concerning PracticeNR Not able to be Rated
A Closer Look at How One Clearinghouse Rates Evidence of Effectiveness
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Programs with a Scientific Rating of 1 Well‐Supported by Research Evidence
Programs with a Scientific Rating of 2 Supported by Research Evidence:
• Eye Movement Desensitization and Reprocessing (EMDR)
• Trauma‐Focused Cognitive‐Behavioral Therapy (TF‐CBT)
• Child‐Parent Psychotherapy (CPP)
• Prolonged Exposure Therapy for Adolescents (PE‐A)
Examples ‐ California EBP Clearinghouse: Trauma Treatment (Child & Adolescent)
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Programs with a Scientific Rating of 1 Well‐Supported by Research Evidence
Programs with a Scientific Rating of 2
Supported by Research Evidence
• Coping Power Program • The Incredible Years• Multidimensional Treatment Foster Care ‐Adolescents (MTFC‐A)
• Multisystemic Therapy (MST)• Oregon Model, Parent Management Training (PMTO™)
• Parent‐Child Interaction Therapy (PCIT) • Problem Solving Skills Training (PSST) • Triple P ‐ Positive Parenting Program® ‐Level 4 (provisional rating)
• Community Parent Education Program (COPE) –
• Functional Family Therapy (FFT)
• Multidimensional Treatment Foster Care for Preschoolers (MTFC‐P)
• Parenting with Love and Limits (PLL)
Examples ‐ California EBP Clearinghouse: Disruptive Behavior Treatment
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∗ Outlines guiding principles of *ASAP services, and the system of care and supports that are needed by children/ youth and families.
∗ Includes detailed surveys from 34 states:• Service array, structure, qualifications, funding,
additional information
∗ Available at www.nrcadoption.org/wp‐content/uploads/ASAP‐A‐Public‐Interest‐book‐with‐Surveys.pdf
NRCA Adoption Support & Preservation Services Guide
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∗ How is information about adoption‐competent services made available within your state? Shared outside?
∗ How do you learn about what is available in other jurisdictions?
∗ Do you have ideas about how information sharing could be improved?
Getting the Word Out
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∗ What else?∗ Closing comments
Thank You!
Wrapping It Up
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Child Welfare Information Gateway. (2012). Selecting and working with a therapist skilled in adoption. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau.
North American Conference on Adoptable Children. (2011). Post‐adoption needs survey offers direction for continued advocacy efforts. Retrieved from www.nacac.org/adoptalk/postadoptionsurvey.html
National Resource Center for Adoption. (Rev. 2012). Adoption Competency Curriculum. Southfield, MI: Spaulding for Children.
References
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National Resource Center for Adoption. (rev. 2012). Adoption support & preservation services: A continuing public interest. Southfield, MI: Spaulding for Children.
National Resource Center for Adoption. (2007). Adoption competence: A guide to developing an adoption certificate for mental health professionals. Southfield, MI: Spaulding for Children.
References
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Contact Us . . . Contact Us . . .
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Telephone: 248.443.7080
Fax: 248.443.7099E-mail: [email protected]
Web site: www.nrcadoption.org
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