Tuesday, June 8, 2010

Remember the 7 Cs

Remember the 7 Cs

Some children with moms and dads that drink too much think that it is their fault. Maybe you are one of those children. Well, it's not your fault and you can't control it. But, there are ways that you can deal with it. One important way is to remember the 7 Cs.

I didn't Cause it.
I can't Cure it.
I can't
 Control it.
I can
 Care for myself by
Communicating my feelings,

Making healthy Choices, and
By Celebrating myself.

Monday, June 7, 2010

GREAT resources for motivating clients to CHANGE!

I'm doing an online course to better under stand Substance Abuse and how it affects client in the Child Welfare system. I just came across some really great motivators from change. All of this information came from the below source, of which you can register and take the trainings for free.

Parent’s Stage of Change and Motivational Tasks for Child Welfare Workers
Parent's Stages of Change Motivational Tasks for Child Welfare Worker
Precontemplation No perception of having a problem or need to change Increase parent's perception of the risks and problems with their current behavior; raise parent's awareness about behavior
Contemplation Initial recognition that behavior may be a problem and ambivalence about change Foster and evoke reasons to change and the risks of not changing; help parents see that change is possible and achievable
Decision to Change Makes a conscious determination to change; some motivation for change identified Help parent identify best actions to take for change; support motivations for change
Action Takes steps to change Help parent implement strategy and take steps
Maintenance Actively works on sustaining change strategies and maintaining long-term change Help parent to identify triggers and use strategies to prevent relapse
Lapse or Relapse Slips (lapses) from a change strategy or returns to previous problem behavior patterns (relapse) Help parent re-engage in the contemplation, decision, and action stages

Motivational Strategies for the Precontemplation Stage

When parents are in the precontemplation stage on a specific issue, child welfare professionals can use the following motivational strategies to help move them to the next stage:

  • Establish rapport and build trust

  • Raise concerns about a parent's substance-related risk behaviors to self and children

  • Elicit the parents' perceptions of their level of risk

  • Elicit the parents' perceptions of their children's level of risk with respect to safety, well-being, and health

  • Explore the benefits and risks of risky behaviors and treatment, including the timetable of the dependency court

  • Express concern and remain available.

Motivational Strategies for the Contemplation Stage

When parents are in the contemplation stage on a specific issue, child welfare professionals can use the following motivational strategies to help move them to the next stage:

  • Help parents understand that ambivalence about change is normal

  • Elicit and weigh their reasons to change and not to change, including the consequences for the child if the parent does not meet the requirements of the dependency court

  • Emphasize parents' free choice, responsibility, and self-efficacy for change

  • Elicit self-motivational statements of intent and commitment from parents

  • Elicit ideas regarding parents' perceived self-efficacy and expectations

  • Summarize self-motivational statements

  • Elicit ideas for the child's well-being and safety

Motivational Strategies for the Preparation Stage
When parents are in the preparation stage on a specific issue, child welfare professionals can use the following motivational strategies to help move them to the next stage:

  • Clarify the parents' own goals and strategies for change

  • Offer a menu of options for change or treatment

  • Offer expertise and specific guidance, with permission

  • Make sure that parents follow through on referrals for treatment assessment

  • Help negotiate a change or treatment plan and behavior agreement

  • Consider how to help parents lower their barriers to change

  • Help parents enlist social support

  • Explore the parent's treatment expectations

  • Elicit from the parent what has or has not worked in the past

  • Have the parent publicly announce plans to change

  • Explore legal and social consequences to the parent and the child

  • Help parents make plans for dependent children

Motivational Strategies for the Action Stage
When parents are in the action stage on a specific issue, child welfare professionals can use the following motivational strategies to help move them to the next stage:

  • Support a realistic view of change through small steps

  • Acknowledge difficulties for the parent in early stages of change

  • Help the parent find new reinforcers of positive change

  • Help parents assess whether they have strong family and social supports, and how these can be used to support child safety and well-being

  • Help parents engage community supports

  • Reflect on appropriate legal and social interactions and gains

Motivational Strategies for the Maintenance Stage
When parents are in the maintenance stage on a specific issue, child welfare professionals can use the following motivational strategies to help them sustain the benefits that they have achieved.

  • Support parents' lifestyle changes

  • Affirm parents' resolve and self-efficacy

  • Support parents' use of new communication or coping strategies

  • Maintain supportive contact and availability

  • Sustain parents' resolve to meet statutory timetables

  • Review long-term goals with parents

  • Advocate for legal and community supports and rewards

  • Help parents make plans for dependent children

  • Help parents, kin caregivers, and children recognize risk factors and behaviors involved with substance abuse

Motivational Strategies for the Relapse Stage
Many clients will not immediately sustain new changes they are attempting to make. Substance use after a period of abstinence may be common in early recovery. Clients may go through several cycles of the stages of change to achieve long-term recovery. Relapse should not be interpreted as treatment failure or that the client has abandoned a commitment to change. With support, these experiences can provide information that can facilitate subsequent progression through the stages of change and identify new areas in which treatment and case plans can be enhanced. When parents lapse or relapse, child welfare professionals have an especially important role helping parents to reengage by using the following strategies:

  • Help parents to reenter the change cycle

  • Explore the meaning of relapse as a learning opportunity

  • Maintain nonjudgmental, supportive contact

  • Help parents find alternative coping strategies

  • Keep parents' attention focused on the social and legal consequences of relapse for themselves and for their children

The FRAMES Strategies
F Feedback regarding the parent's impairment or risk behavior
R Responsibility for change is the parent's
A Advice (guidance) to change is provided by the social worker
M Menu of treatment and self-help alternatives is offered to the parent
E Empathy and non-blaming style is used by the social worker
S Self-efficacy or positive empowerment is facilitated in the parent


Monday Morning Musings


I have a Literature Review due in 2 weeks and it has become the bane of my existence. I have to do a full-scale review and analysis on "Best Practices in Family Preservation." Finding appropriate research for that exact topic has been a pain in the arse but I finally found 4 (we need to have between 3 to 5 articles) and I'm not changing them now! I've been reading through what I've found, identifying the research question and reading through the discussion for the findings. Once I've read them all, I will go back and review the Methods. And let's face it. Analysis isn't my strong suit. It is going to kick my arse. I just don't have an analytical brain, and to try and understand their methods and make sure they covered all the bases (in other words, they conducted a solid study) makes me just laugh thinking about it.

Family preservation services are family-focused, short-term, intensive therapeutic services designed for families with a child at imminent risk of out-of-home placement. That is good, right, because when children are removed from their parents and their environment, it is serious trauma! Also, if the child is young and they are placed in foster care for a length of time, the attachment process can be interrupted. Research has shown the disastrous effects of disrupting the attachment/bonding of a young child and their main caretaker.

The goals of the program are to resolve the crisis that led to the decision to remove the child and teach the child's family the skills they need to stay together. It emphasizes the strengths of the family and seeks to empower families to solve their own problems. What a concept! Obviously, children who have been abused will be removed from the home and really don't qualify for these types of services. (Other services are provided, obviously, as the primary goal of child welfare is to reunify the child with their biological parents). But what about the families who have been neglectful due to inadequate housing, addiction, mental health issues or poor child care skills?

FPS could work for them, but my findings so far are a bit disappointing. It seems as though the caseworkers in the field don't always identify the proper families for FPS. Meaning, some inappropriate families receive it, and the ones that could have benefited from FPS have the child removed. I think a lot of caseworker's err on the side of caution because they are afraid to leave a child in a home that has been identified as neglectful, etc. Makes sense - I know I'd feel that way - but it leads me to my next rant. Proper Training, please! I've come across a lot of literature that says caseworkers are not trained on proper assessment of the families and treatment of the above problems, as well as many others. This isn't the first time I've heard this! When are we going to put trained human services people in these positions and quit hiring any joe blow off the street? I doubt that their intentions are bad but they aren't educated/trained to assess these families properly, and therefore, the families are provided incorrect services. The system is not meeting their needs. We are failing them!

Anywho, besides reading and ingesting the research articles (time consuming, anyone?), I have to fit in my work hours (thankfully I can do those from my computer, but they take up valuable school work time) and write the damn review in TWO WEEKS! If you know me, I am not a quick writer. It takes a while for the writing flow (in other words, days, weeks, etc). I can't just sit down and spit it out. Ugh. UGH! I see sleepless nights is in my near future. As I sit here and contemplate how I am supposed to pull this off, my brain quickly reminds me that it is 25% of our friggin grade, which makes me feel so much better.