Foundations of Practice CA’s Practice Model Washington DSHS Children’s Administration (CA) Created by the Practice Model Team in conjunction with Dr. Dana Christensen Developmental Competency SW101-05 Ability to identify core principles and goals of the agency practice model such as building partnerships, focusing on pragmatic everyday life events, and targeting measurable prevention skills By the End of This Session You will be able to: • Describe the reasons for having a practice model • State the four milestones that make the SBC practice model • Explain the three basic tenets of the SBC practice model • List the three foundational theories of SBC • Navigate the research that shows the effectiveness of the practice model • Explain how the practice model addresses disproportionality What is a Practice Model ? • Theoretical and values based • Operationalizes specific casework skills/practices • Provides a conceptual map to optimize the safety, permanency, and well-being of children who enter the child welfare system What is our practice model? Solution-Based Casework Solution-Based Casework (SBC) is an evidenceinformed practice model for Casework Management in Child Welfare and Juvenile Justice. The model provides a conceptual map for a family-centered practice from assessment through case closure. The SBC practice model is best thought of as the architecture that holds our practice to a consistent focus on our outcomes. Three Main Tenets of SBC We Prioritize the Family Partnership 1 2 We Focus on Pragmatic Solutions to Everyday Life Problems We Help Families Document and Celebrate Success 3 Integrated Framework from: Family Life Cycle Theory (Carter and McGoldrick, 1999) Cognitive Behavior Therapy Solution Focused Interviewing Family Life Cycle Theory Relapse Prevention (Cognitive Behavioral Theory) (Marlatt & Gordon, 1985, Pithers, 1990, Beck, 1993) Solution-Focused Therapy (Berg, 1994, DeShazer, 1988) All three models have their own well-documented evidence base. Research on SBC in Child Welfare? (Antle et al, 2005, 2007, 2009, 2012) SUMMARY of OUTCOMES • 30% reduction in removal of children • Over a 100% increase in goal attainment • 27% more workers contacted referral sources directly • 64% increase in identified client strengths • Families with chronic CPS involvement more likely to be successful • Clients with Co-morbidity also achieved more goals. • 35% reduction in recidivism referrals over 6 months • Full implementation of SBC met all 23 CFSR review items and the 7 outcomes of safety, permanency, and well-being (4500 cases) More information on other studies at www.solutionbasedcasework.com What is the SBC Evidence Base ? (Antle et al, 2005, 2007) Achievement of Goals • Families achieved significantly more case goals/outcomes when SBC was used • Chronic CPS families were even more likely to experience success with SBC • Families with all types of maltreatment and co-morbid factors achieved more goals with the use of SBC (Antle et al, 2005, 2007) Worker Effort (Antle et al, 2005, 2007) Worker Attitude (Antle et al, 2005, 2007) Overview of Study Research: • What is the relationship between implementation of SBC and performance on federal review items and outcomes • What are the most critical points in the child welfare casework process to use SBC in order to promote positive outcomes? Sample: 4,559 cases over four-year time period (2004-2008) Procedure • • • • CQI Review Process Merged data across four years Extracted SBC items from review tool Federal review items and outcomes mapped onto CQI tool by CFSR/PIP team in KY (Antle et al, Child Abuse and Neglect, 2012) Summary of Study 5 Solution-Based Casework is associated with significantly better scores on all 23 CFSR review items and the 7 outcomes of safety, permanency, and well-being 95.00% 90.00% 85.00% Low SBC 100.00% 100.00% 90.00% 90.00% 80.00% 80.00% 70.00% 70.00% 60.00% 60.00% 50.00% Low SBC 50.00% Low SBC High SBC Federal Standard High SBC High SBC 80.00% 40.00% 40.00% 30.00% 30.00% 20.00% 20.00% 10.00% 10.00% Federal Standard Federal Standard 75.00% 70.00% 0.00% 0.00% Safety 1 Safety 2 Safety 1 & 2 Permanency 1 Permanency 2 Permanency 1 & 2 Well Bein g Well Being 2 Well Being 3 Well-being 1, 2, & 3 (Antle et al, Child Abuse and Neglect, 2012) Why was Solution-Based Casework Developed ? • • • • • Family Centered wasn’t operationized: no systemic support Investigations led to a list of problems, not solutions Assessments were too interrogative, no consensus built Assessments weren’t located in the details of family life Case planning focused on service completion, i.e. compliance (versus skill acquisition) • Case planning was more worker-driven and “owned” • Caseworkers and Providers didn’t share a common map In-home therapy School Counselor Mental Health Natural Supports Courts Drug Counseling Residential Staff DEFINITION OF THE PROBLEM Family Support Anger Management Foster Care Health CPS Family Members In-home worker The All-Too-Familiar Approach Referral & Assessment Mom is Neglectful Mom needs Money Mom uses Drugs Son is Truant Son is Hyperactive Girl needs SA Counseling Baby has Med. Needs Assessment & Referral to: Assessment of Problems Assessment of Problems Assessment of Problems Assessment of Problems Assessment of Problems Assessment of Problems Case Plan Family Support Action Plan Drug Counselor Treatment Plan School Attendance Plan Impact Plus Service Plan Comp Care Treatment Plan First Step Treatment Plan FPP’s Treatment Plan ? The Family ? Comp Care Treatment Plan ? ? Mental Health: MH Clinic Work Issues: Family & Child Support Supervision: Family Members School Attendance: School Substance Use: AA Counselor Home & Child Cleanliness: FPP Protection issues: Courts and P & P A Family-Friendly Interface that Helps to Organize Complex Issues and Multiple Partners How is Solution-Based Casework Different ? • Problem definition located in the difficult situations of everyday life (Family Life Cycle) • Challenging situations are normalized, tracked, and contextualized • Consensus building sought and guided from the very first interview • Case planning targets NEW ways of handling those situations at both the Family and Individual level • Outcome is measured by skill development in areas of concerns (Versus service compliance) • Skill development is documented and celebrated. Milestone 1 : Building a Consensus • • Organization • • Family engagement Gathering assessment information (IA, FAR FA, CFE) What has happened in the past? What do we need to create change? Milestone 2 : Getting Organized on Objectives Of • • • Moving from Consensus to FLO & ILO Building the Family and Community Team for Change Co-Developing a “Case Plan” Milestone 3 : Specific ACTION Plans Practice • • • Specific Plans of Action for Families and Youth Documenting behavioral change Using the Team to help Milestone 4: Documenting and Celebrating • • • Documenting Progress and Change Celebrating Small Steps of Success Adjusting plans for progress 20 Making the practice real CHILD SAFETY FRAMEWORK SAFETY ASSESSMENTS FAR FAMILY ASSESSMENT COMPREHENSIVE FAMILY EVALUATION SHARED PLANNING MEETINGS FAMILY TEAM DECISION MAKING MEETINGS Summary • What are some reasons for having a practice model? • Shout out the four milestones of our practice model • What are the three basic tenets of the SBC practice model? • What are the three theories that make up SBC? • How do you think our practice model can address disproportionality?