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 Diploma In Community Service Work

 CHCPROT7101A
 Conduct complex Child Protection risk
  Assessment

Best Interest Case Practice Model
Key Message



   We can only do the “What” we do
  effectively if we attend to “How” we
                   do it
Best Interest Case Practice Model –
BICPM- Summary Guide

The BICPM should not be
 viewed by practitioners
      only as a risk
 assessment tool – It is a
  framework for practice
Best Interests Case Practice Model
 The best interests of a child are protected and promoted by ensuring the
  child’s right to
 Safety
 Stability
 Development

 For each child we must look at their safety,stability and development
  through the lens of the child’s culture, gender,age,stage and development
 “In assessing,planning and acting to promote children’s safety, stability and
  development, Child Protection and family and placement services need to
  take account of a child’s age, stage of life and their culture and gender.
  Together these considerations provide a lens through which to view safety,
  stability and development and understand the unique circumstances and
  experiences of a child”- Best Interests Framework Page 12
Best Interests Framework
Best Interest Case Practice Model
Overall Case Practice Model
 BICPM has at its foundation a dual focus
 The basic focus of any assessment and intervention must now be to answer
   the question- How is this child developing?- as well as “Is this child safe?”
Core phases:
 Information gathering
 Analysis and Assessment
 Decisions/Agreements for Action
 Review

 These phases should be seen as continuing processes occuring through all
  phases of family service,child protection and placement intervention, not
  single once off events that then form immovable “truths” about a child’s
  experience.
Information Gathering Activity

 Consider the following 3 questions keeping in mind the particular role of the
  service you have been asked to represent

 What information do we want?

 Why do we want the information?

 Who do we have access to, to gain this information?

 How do we gather this information?

 You have 10 minutes
Information gathering cont’d

 As practitioners we must be mindful of not simply getting people’s
  responses to specific questions, but also of asking people the meaning of
  particular responses.

 Asking young person who is significant family member to them and WHY.

 OR – Asking young person who is not a significant family member to them
  and WHY NOT?

 Requires curiosity and purpose in our thinking/behaviour so we are not
  making assumptions
Information Gathering


 “Information gathering is a dynamic,
  incremental, ongoing process. Throughout
  the life of a case, you will be testing and
  validating existing information and
  gathering and recording new information”
           BICPM Summary Guide p.17
Information-Gathering

“Any risk or safety assessment or future casework is
 only as good as the quality of information on which it
 is based”
BICPM Summary Guide
p.17
Information gathering – How we do it

 The how when information –gathering is as important as getting the task
  done

 We will have a better chance of true engagement with the family if we attend
  to the dynamics of our interaction with them

 Engagement requires understanding of how trauma impacts on the child
  and family
Tools used in Information Gathering

 Genograms
 Eco maps
 Timelines

Used to assist practitioners to
     Develop early responses to children and families
     Visual guides to think and act systemically
     Draw out a families story
Key domains of Information Gathering

 Child or young person's safety
 Child or young person’s stability
 Child or young person’s development and
  wellbeing
 Parent/carer capacity
 Current family composition and dynamics
 Family history
 Social and economic environment
 Community partnerships, resources and social
  networks
Child’s Culture

 Need to identify whether the child is

 Aboriginal/Torres Strait Islander

   From another culturally and Linguistically Diverse background.

 “Culture in many ways defines who we are, how we think, how we
  communicate, what we value and what is important. Culture constantly
  evolves and adapts us and is always a significant and changing influence on
  us”
  VACCA- Victorian Aboriginal Child Care Agency 2000”
   Aboriginal Resources and Cultural Guide” P6
Child’s age and stage of life

 Specify child’s date of birth and describe their stage of life-
 Need to establish a comprehensive sense of what this means in terms of
  stages of child development.

 This must be take into account when considering how to respond to the
  child’s safety, stability and developmental needs.
 Child’s age and stage alerts practitioners to the key developmental tasks
  that the child should be undertaking that then provides a base line for
  assessing and weighting the child’s developmental needs.
 Practitioners also need to be attuned to vulnerability of infants and the likely
  impact of trauma and neglect for the child’s future safety, stability and
  development.
Child’s Safety
 Promoting a child’s best interests requires all practitioners to have the dual
  focus of safety and development
 Need to keep at all times, the experience of the child in the forefront of their
  minds and ask themselves
 WHAT DOES BEING SAFE MEAN FOR THIS CHILD GIVEN THEIR
  AGE,STAGE,CULTURE AND GENDER?
 -REQUIRES WHEREVER POSSIBLE TALKING TO THE CHILD AND
  GAINING AN IDEA OF WHAT IT MEANS TO THE CHILD TO BE SAFE.!!!
Child’s Safety Information
 Important that child safety information is viewed through the lens of
  age,stage of development,culture and gender
 A lack of provision of care can be life threatening for an infant, whereas an
  older child is more resilient.
 For some cultures, provision of basic care may be undertaken by range of
  extended family members- May be appropriate way- does not necessarily
  imply that child’s parents are failing in their responsibilities.
 For Aboriginal children connection to culture through family,extended family
  and community can be a critical protective factor.
Child’s safety cont’d
 Gender may have an impact on care provided, particularly if primary carer
  has displaced hostility towards the opposite sex due to abusive
  experiences.
  Is basic care provided?
 We know child is safe when parents or carers are
 Providing the basic care for the child’s immediate and future stability and
  healthy development
   Protecting the child from harm and it’s adverse consequences for the child’s
  immediate and future stability and healthy development.
- Physical, emotional, social needs- nature of these will depend on their age,
  stage of life, culture and gender
- Does the carer respond quickly and appropriately to child’s needs?
- Does the carer consistently give priority to child’s needs over their own or
  partner’s needs?
Protection from harm

 Need to identify the actual or believed
  harm
 Sources of harm
 Pattern and history (of this child and of
  other children)
 Opportunities for harm
Protection from Harm cont’d
 Being protected from harm means that the child is protected by parents from
  immediate, cumulative or likely harm to their safety, stability and
  development caused by
 Abandonment
 Physical injury
 Sexual Abuse
 Emotional or psychological abuse
 Neglect

 CYFA 2005 s162
Actual or Alleged Harm

 Need to clearly establish and describe the causes and incidents of harm.

 Need to gather information about the severity of the harm.

 How does this harmful behaviour impact on this particular child’s
  development, given their age stage,culture and gender?

 On the basis of this family services practitioners will need to decide whether
  to contact Child Protection.

 Community Based Child Protection workers are also available to provide
  consultation and advice.
Sources of Harm



 Identifying the relationships, behaviours and situations that are causing
  harm to the child.
 Remember this also includes risk taking behaviour by young person-Can be
  source of harm to themselves.
 Need to gather information about the severity of the harm-Must be viewed
  through lens of age,stage,culture and gender.

 HOW DID THIS HARMFUL BEHAVIOUR IMPACT ON THIS PARTICULAR
  CHILD’S DEVEOLPMENT AND SAFETY, GIVEN THEIR
  AGE,STAGE,CULTURE AND GENDER?
Pattern and History for this child and other
children
 Provides a sense of the potential cumulative harm- The effects of patterns
  of circumstances and events in a child’s life, which diminish their sense of
  safety, stability and well-being.
 Of crucial importance is the child’s subjective experience and meaning and
  significance and impact to the child.
 Have there been previous incidents? How severe were these incidents?
 What was the nature of these concerns- how were issues addressed at the
  time?
 How long ago were these concerns? Does the space between indicate
  escalation?
Opportunities for Harm-Access to harming
parent,exposure to harm
 Is the harming parent/carer the primary carer for the children?
 Do they accept responsibility for their role in the abuse?
 How does the primary carer ( if not the harming carer) understand the
  situation?
 What protection can they offer the child?
 How does the child understand the situation?
 How does the harming carer view their role in the abusive episode?
 How does the harming carer view the child?
 Is their view of the child’s abilities consistent with their developmental
  stage?
Child’s Stability

Connection to the primary caregiver

Connection to family/siblings

Connection to school/childcare/friends

Connection to community

Connection to culture
Child’s Development

   Health and physical development
   Family and social relationships
   Emotional and behavioural relationships
   Education/learning
   Identity
   Social presentation
   Self-care skills
Parent/carer capabilities

 Involves assessing parent/carer capacity to protect children from harm and
  enhance their developmental experiences-

 Parental attitude to the child and actual or alleged harm
  Parent’s capabilities for meeting the child’s needs
 Previous history of parenting.
 Providing basic care
 Ensuring safety
 Emotional warmth and responsiveness
 Guidance and boundaries
 Consistency and reliability
 Stimulating learning and development.
 Factors & circumstances diminishing parent’s capabilities.
Parent/carer capabilities

 Information gathered should come from variety of sources, including
 Interviews with the child,parents/carers
 Reviews of written records and reports
 Observations during home visits and access
 Contact with involved agencies, extended family members, representatives
  of cultural community
 Consultation with colleagues and supervisors.

 Donald and Jureidini (2004) Parenting Capacity, Child Abuse Review
  propose the central issue should be
 “the parent’s ability to empathically understand and give priority to their
  children’s needs.”
Parenting Capacity cont’d -Manitoba Risk
Estimation System
 Provides guidance to likelihood/probability.

 Research was undertaken of 1500 cases of child protection and a
  predictability theory was developed where 3 constant dimensions were
  identified where abuse was occurring-

 Pattern and history
 Beliefs
 Complicating factors
Pattern and History

    The first and most important dimension of caregiver characteristics that
    should be considered is their prior pattern with the respect to treatment of
    children. The number of maltreatment events they have initiated, their
    severity and recency are the most basic of guides to future behaviour.

 In the absence of effective intervention these behavioural patterns would be
  expected to continue into the future
Beliefs
 If an individual believes that they are correct in their opinions about children,
  they will attempt to continue their behaviour so long as they are not
  prevented in doing so
Complicating factors

 Third dimension concerns the presence of complicating factors, most
  significantly- substance abuse,mental illness,social isolation and violent
  behaviour.

 The relevance of complicating factors is the extent to which they singularly
  or in combination diminish the capacity to provide sufficient care and
  protection to the child or young person.
Parenting capacity and Substance misuse

   The misuse of drugs and/or alcohol may adversely affect the ability of
   parents to attend to the emotional, physical and developmental needs
   of their children in both the short and long term.
   Studies often fail to evaluate the impact of substance misuse on
   parenting capacity relative to other aspects of disadvantage, such as
   poverty, unemployment or depression
   • Parents are worried about losing their children, so confidentiality is
   considered to be a requirement for support services
   • Children often know more about their parents’ misuse than parents
   realise, and feel the stigma and shame of this misuse, but also fear the
   possibility of being separated from their parents and taken into care
Family Violence
 “In the situations of ongoing domestic
  violence, the repeated co-occurrence of
  intense need and utter helplessness leads
  to a chronic depressive state in which the
  child feels at loss to make and maintain
  satisfying emotional relationships.”
 Lieberman and Van Horn 1998
Family Violence
 “From the perspective of attachment theory,
  witnessing the mother being attacked and
  wounded represents a profound assault on
  the child’s trust in the attachment figure as a
  reliable protector. When the child most needs
  her proximity, contact and reassurance, the
  mother cannot provide this comfort, because
  she herself is damaged and unavailable.”
 Lieberman and Van Horn, 1998
How trauma and deprivation can impact on parenting:


 Inability to regulate own emotions
 Never learning what healthy parenting looks and feels like.
 Not knowing what to expect for healthy development
 Dissociative states
 Misinterpreting child’s normal behavioural and developmental
  responses as an attack.
 Projecting image of perpetrator on to the child.
 Maladaptive survival strategies, such as substance abuse.
 Fear of child’s anger
 Currently in fear or traumatisation.
 Living in a state of chaos and crisis that crowds out anything
  other than survival
  (Annette Jackson, Take Two/Berry Street)
Parenting Capacity cont’d

 Recent Government Framework document-UK.

 Parenting capacity-”ability of parents/caregivers to ensure that child’s
  developmental needs are being appropriately and adequately responded to,
  and to be able to adapt to the child’s changing needs overtime. This
  includes providing for child’s basic physical needs, ensuring their safety,
  ensuring their emotional needs are met and giving child sense of being
  specially valued, promoting the child’s intellectual development through
  encouragement and stimulus, demonstrating appropriate behaviour and
  control of emotions and providing a sufficient stable family environment
Strength Based Practice

 Assessing parenting capacity must also have a strength based focus. This
  assists in identifying the strengths and skills already possessed by the
  parents which can then be supported by interventions.
 Strength based focus on positive aspects of family functioning does not
  imply that family difficulties and children’s safety and development is
  forgotten.
 The approach is child-centred and family focussed. The best interests of the
  child are paramount, while maintaining a focus on building family members
  competence in order to tackle problems and issues effectively.- Best
  Interests Case Practice Model for Family Services,Child Protection and
  Placement Services
Family composition and Dynamics

 Family/household composition &relationships

 Family history and dynamics

 Cultural content

 Involvement of extended family/possible carers.
Social and Economic environment

Housing
employment patterns
income
Community partnerships, reources and
networks
 Networks, including engagement with support services and family
  integration

 Available community resources
Definitions


 Harm/Cumulative Harm
 Impact
 Vulnerability
 Sustainability
 Culture

Activity: define these terms
Cumulative harm

Child’s unmet needs = harm to development
over time

‘Research evidence has shown that a child
 can be as severely harmed by the cumulative
 impact of less severe risk factors e.g. neglect
 and family violence, as by a single, severe
 episode of harm’
Summary guide page 8
Harm- Considerations

 What has happened or is likely to happen to the child?

 Distinguish between harm and harm causing behaviour?

 Describe the evidence of harm, i.e injuries, behaviours which indicate harm,
  developmental delay that has been assessed by a medical professional as
  being non-organic, high risk adolescent behaviours etc.

 Harm= Acts of omission and commission
Impact- Considerations

 What effect has the harm had on the child’s safety,stability and
  development?

 How severe do you judge this impact to be?
Vulnerability - Considerations
 Considering the child’s age, stage, culture and gender, how do
  these factors increase/decrease this particular child’s vulnerability to
  further harm?

 Does the child’s particular temperament/personality impact on their
  vulnerability to further harm?

 Does the child have a physical/intellectual disability that adds to
  their vulnerability to further harm?

 Are there socio-economic factors that make this child more/less
  vulnerable to further harm?

 Do family patterns indicate increased vulnerability to the child?
Vulnerability

 Vulnerability can be defined as those innate characteristics of the child or
  those imposed by their family circle and wider community that might
  challenge or threaten development.
 ( Daniel,Wassell & Gillgan1999)
Sustainability - Considerations

  Where strengths and/or protections have
   been identified, how do we assess the
   likelihood that they can be sustained over
   time?

  Strengths should not be confused with
  safety
Culture - Considerations

 Culture is a broadly-defined concept that
  encompasses a child’s core identity, the meaning of
  that identity to that child and their family, and the
  wraparound scaffolding that maintains that cultural
  identity i.e. family/cultural connectedness (extended
  family, community), family rituals and customs,
  stories and music etc.

 Key message: Culture is not a “Yes/No” question
  to be ticked off!!
Analysis and Planning

 “Analysis and planning is professional
  judgement that is informed by your collaboration
  with the family and other professionals, and the
  integration of the relevant evidence base. This
  process uses both analytic and intuitive
  reasoning. Analytic reasoning is logical and
  evidence based, and grounds the intuitive, to
  form a clear rationale as the basis of any action.
  Each brings to practice, a balance and wisdom
  of its own”
            BICPM Summary Guide p 29
Resource

 Key reference:
“Effective Child Protection Practice” (Eileen
 Munro, 2002)

- relevant to all who work with vulnerable
  children and families, not just Child
  Protection practitioners.
Analysis and Planning
 Need to organise information and consider it’s implications for the child and
  family.
 ANALYSIS OF HARM TO THE CHILD
 What has happened in the past and more recently and what have been
  impacts on the child?
 Pattern and history- identify any cumulative harm.
 Impact of harm on the child’s stability-( in terms of connection to family and
  community) and development- ( how child’s development is being harmed,
  in terms of 7 life areas.
 Severity of impact of harm to child’s stabilty and development and whether
  harm is immediate or associated with a cumulative pattern.
Analysis of harm to the child cont’d
 Important part of analysis of harm- Severity of harm
 After consideration of available information at this point in time, you are on
  balance more inclined to form view-
 That concerns currently have low to moderate impact on the child and the
  immediate safety of the child is not compromised
 OR
 The concerns currently have a serious impact on the child’s immediate
  safety or development, or the concerns are persistent, entrenched and likely
  to have a serious impact on the child’s development.

 Vulnerabiilty of the child- consider age,stage, gender of the child and build a
  picture that considers the factors that increase or decrease the child’s
  vulnerability
Future risks to the child.

 Consider – What likely to happen in the future given what we know about
  this child and their family circumstances?
 Vulnerability of the child
 Pattern and history
 Impact of factors diminishing parental capability.- Complicating factors,
  parental characteristics
 Impact of family composition and dynamics
 Impact of the social, community and economic environment
 Likelihood of future harm to a child’s stability and development.

 To reach a conclusion that a child is likely to be safe from future harm,
  practitioners need to see demonstrated actions in a range of contexts, over
  a significant period of time
Sustainability of protective factors

 Balanced risk assessment- considered the potential for safety as well as
  potential for harm- Even in worst case scenarios there will be some
  strengths- a focus on strengths and protection does not equate with
  minimising harms.- must be balanced weighting of relevant information.-
  Need to be able to identify resources within the family that could meet the
  child’s safety and developmental needs.
 Parental strengths including their attitudes and capabilities
 Support from family,extended family, alternative carers & significant others
 Access to and engagement with formal services and informal networks of
  support.
 Cultural support
 Demonstrated signs of safety.
Child’s Needs

 What does this child need now and in the future, in relation to theirsafety,
  stability, development, taking into account age and stage of life?

 In considering a child’s developmental needs, what does this child need
  now and in the future to protect and promote their cultural identity and
  connection?

 What is the extent to which these needs
 Are being met now?
 Are likely to be met in the future
Promoting the child’s best interests

 The identified needs of the child in terms of safety, stability and
  development will form the basis of best interests planning and action.
 What are the risks and needs of this child?
 What is the rationale for weighting these risks and needs, taking account of
  The impact of past harm on the child.
 Whether the child is currently protected from harm
 The probability of future harm( based on past patterns and history and the
  cumulative harm to the child).

 What is your goal in working towards the best interests of this child?

 What has already been tried and what was the result?
Promoting the child’s best interests – cont’d

 Is the parent willing to prioritise the child’s needs? Can this caregiver
  provide what this child needs now and in the future?

 What are the views of the child, parents, family, significant others and other
  professionals?

 What will be the most effective approach to meeting the child’s current
  safety, stability and developmental needs, taking account of available
  resources?

 What can be done to promote the child’s future safety, stability and positive
  development?
Decisions/Agreements for Action

    Or what is known as Safety, Stability and Development statement-
   Need to include-
   Are there concerns for the child’s well being?
   Does the child require other interventions to ensure their well being?
   Has past harm or risk of harm been substantiated?
   Does it appear that that this child is in need of protection?
   Does the child need alternative care?
   What is the evidence for this decision?
   What forms of assistance does this family need?
   What other actions are required to ensure the ongoing safety, stability and
    development- Do not forget to think about likelihood of future harm
Decisions/Agreements for action cont’d

 What is your plan?

 What needs to be done
 By whom?
 When?
Children Court Orders
 In Child Protection there are a number of thresholds or level of concerns
  which serve to inform decision making. Analysis and assessment provide
  the basis for identifying when a threshold has been reached. For example
  when a child is removed from the parent’s care, the evidence must at a
  minimum support a view “unacceptable risk of harm to the child” (s.10(3)
  (g)CYFA. – Advice number-1336- Protection Order descriptions- CP manual

 SIGNIFICANT HARM
 Clear understanding is fundamental requirement for Child Protection
  workers. Significant harm is not defined in CYFA- however Justice O;Brien
  in the Supreme Court decision of Director-General of Community Services
  Victoria v Buckley(1992)(unreported) defined “significant” as
Significant Harm-cont’d

 Justice O;Brien

 “More than trivial or insignificant, but need not be as high as serious
 Important”

 Important or of consequence to the child’s development.

 It is irrelevant that the evidence may not prove some lasting permanent
  effect or that the condition could be treated
Likelihood of Significant Harm
 Likelihood of significant harm is central consideration in the development of
  the current assessment throughout Child Protection involvement. It is a
  primary driver for continued Child Protection involvement after
  substantiation or for making a protection application to court.

 Where the likelihood of significant harm is assessed as posing”an
  unacceptable risk of harm to the child s10(2)(g) CYFA, the threshold for
  removing a child from their parent’s care has been reached.

 A view on likelihood requires consideration of
 Pattern and history of care-giver behaviour- frequency,severity,duration,type
  of harm caused.
 Parental beliefs, values and motives in relation to the child and other
  children
Likelihood of Significant harm – cont’d

 Contributing /complicating factors – substance abuse,mental illness,violent
  behaviour,social isolation, disability and their impact on parental capacity.

 Needs of child- developmental, medical or other special needs

 Child’s behaviour- including risk taking, harm to self and others.

 Refer to Advice number 108- Child Protection manual for more information

 Read Analysis and assessment in best interests case practice- Advice
  number 1535- Child Protection manual
Assessment Framework
 Analysis and planning aims to assist practitioners to integrate the
  information they have gathered into a current assessment that leads to a
  well considered plan.
Weighting of information to assist in Risk
Assessment
When weighting up information you have obtained in completing your
assessment of risk to the child the following should be included in your analysis

 Child and young person’s vulnerability (including age, stage, culture and
  gender)
 What are the protective concerns related to the child (actual harm and
  believed harm – relating back to CYFA 2005 s.162)
 Pattern and History of harm to the child (has there been any previous CP
  intervention and what has this related to)
 Identified strengths and protections within the family. (what are the family
  willing to do and what have they demonstrated they can do to ensure a
  child’s safety)
 What are the consequences of harm to the child (relating to theories of
  trauma, attachment and development)
 Engagement of family (who is involved with the family currently and
  historically, what has this engagement looked like)
 What are the needs and rights of the child?
Articulating Your Analysis
“Practitioners need to be able to present
 evidence to the Children’s Court that shows the
 effects of harm…and future risks to children’s
 safety, stability and development. The Court will
 also want to know the rationale for professional
 judgements and decision-making, what
 assistance has been provided to the family and
 the outcomes of previous interventions, all
 supported by evidence.”
 Summary Guide p.4
Professional Judgement
 “It is important that practitioners are aware of the
problems associated with professional judgement.
  These problems include a lack of recognition of
  known risk factors, the predominance of verbal
  evidence over written, a focus on the immediate
 present or latest episode rather then considering
  significant historical information, and a failure to
     revise initial assessments in the light of new
                       information”
                                 (Munro,1999)
Professional Judgement – Evidence
Based Practice
 Professional Judgement – can be influenced by
  your own life experience, values and beliefs,
  culture and education.

 Evidence Based Practice – factual information
  drawn from your own observations, credible
  information from other parties, expert opinions
  from professionals which will either corroborate
  or refute information gathered.
Spot the difference

1. “The child is at risk due to exposure to
  parental substance abuse, the parent has
  refused to access a treatment service and
  has not complied with Child Protection’s
  investigation. This child needs a safe and
  stable environment where her physical
  and emotional needs are met.”
Spot the difference

2. “The child’s physical safety is at risk as
  the parent’s substance use occurs when
  the parent is the sole supervisor of the
  child. The child displays evidence of harm
  to her development in her delayed
  speech, her untreated eczema and her
  significant weight loss over the past
  month”
Action

 Action is not simply making a
  recommendation to the Children’s Court,
  or developing a Best Interests Plan, or
  holding a case conference.
 Action is each intervention you and other
  practitioners undertake with a child and
  family.
Action


 “Any action should be based on sound
 analysis and be purposeful towards
 engaging the family members in a change
 process”
 Summary Guide p.38
Actions

 Any actions taken must evolve from an
  analysis of the available information.

 Actions must where possible be taken in
  partnership with the family and with a
  professional network/care team.
Key Message
“Where there is harm, referral to another
 service will not ensure that the family
 will engage or that change will occur.
 There needs to be active casework to
 ensure that the family engages with the
 service in a meaningful way.”

(Summary Guide p.29)
Review


“Review is the continual process of being
 curious about our effectiveness”

Summary Guide p.45
Review

“Review information frequently. Identify
 gaps. Be open to changing your initial
 views rather than interpreting new
 information in a way that supports a pre-
 existing opinion of a child or family”

BICPM Summary Guide p.17
Review

“Good practice requires competence and
 courage about what we do know, but an
 openness and humility about what we
 might not know”

Summary Guide
Reviewing Outcomes
 Review information frequently
 Identify gaps
 Be open to changing your initial view then rigidly
  defended as the ‘truth’ about the family.
 Ensure regular supervision
 Review cases with peers
 Engage in reflective practice
 Have sound judgement
When do I do an Assessment of Risk
When completing a risk assessment you are referring to a single point
in the life of a case and therefore your assessment is limited and will
require modification as further information is received.

                   Intake
                   First Visit (2 and 14 day KPI’s)
                   Investigation – substantiation decision (28 day KPI)
                   Information received that raises concerns for a child safety and wellbeing –
                    Familial or non familial allegations
                   Decision to Issue Protection Application or breach an existing order
                   Decision for out-of-home care / Kinship placement
                   Case Planning (6 weeks pre and post court order)
                   Quality of care or Abuse in care investigation
                   After conducting routine home visits
                   Movement of Phase (90 day KPI for Protective Intervention – closure)
Key considerations
 What has been tried and worked/not worked before to
  protect and promote the child’s safety and wellbeing
 What is required to protect and promote the child’s
  safety and well being
 What mix of professional and non professional support is
  required to assist the family in sustaining change
 Out-of-home care – considerations of kinship options,
  contact and access, care team, LAC, reunification and
  leaving care.

  Sustaining engagement with the child, young person and
  family, ‘getting them on board of a gaol for change’ is the
     key to achieving positive outcomes for your clients.
 The best interests of a child and young
  person should at all times be the
  paramount considerations in determining
  what action to take.
          BICPM Summary Guide p37
Trauma and Development

“Remain compassionate to the distress that
  children and families experience and
  mindful that anger and resistance usually
  reflect the hurt and overwhelm that lies
  beneath”

 (Summary Guide p.15)


                BICPM Training: Wed 15th July 2009   84
Trauma and Development

 The parents of the children we work with
  are often impacted by trauma themselves.
 What we may label as “difficult”,
  “resistant”, “not listening”, inconsistent”
  may indeed be behavioural indicators of a
  trauma history



                BICPM Training: Wed 15th July 2009   85
Understanding Trauma and Development
There are numerous tools and resources available to support and assist you in your analysis and planning for children,
    young people and their families

    Child, Youth and Families Act 2005
    Best Interests Case Practice Model Summary Guide
    Victorian Charter of Human rights and Responsibilities (as set out in the Charter of Human Rights and
     responsibilities Act 2006)
    Professional Supervision
    Child development and Trauma guide
    Best Interest principles: Conceptual overview
    Cumulative Harm: BICPM Specialist practice Resource
    Infants and their families: BICMP Specialist practice resource
    Children with problem sexual behaviours and their families: BICPM Specialist practice resource
    Adolescents and their families: BICPM Specialist practice resource
    Adolescents with sexually abusive behaviours and their families: BICPM Specialist practice resource
    Principal Practitioner
    Every Child Every Chance
    Office of the Child Safety Commissioner
    Child Death Inquiries - Reports
    Child Protection Manual
    Case Planning
    High Risk Infant Manager and Specialist Infant Protective Workers
The Best Interests Case Practice model

 Is -
 relationship based, child focussed, family
  centred

 ecological and systemic

 culturally competent
The model is (cont)

 developmentally and trauma informed

 gender aware and analytical

 dynamic and responsive
The model is (cont)

 based on professional judgement

 strengths based

 outcomes focussed
Legislative Considerations for Decision
Making


 CYFA 2005 s.10 – Best Interest Principles
 CYFA 2005 s.11 – Decision Making
  Principles
 CYFA 2005 s.12 – Additional Decision
  Making principles for Aboriginal children
Key Domains of Decision Making

 Ensure the safety and wellbeing of the
  child, young person and their family
 What supports are need
 Case Planning
 Child’s wellbeing is it being protected and
  promoted
 Out-of-home care
Reflective Practice

The BICPM requires reflective practice:

 “In Victoria there is a strong commitment
 to strengthening a culture of reflective
 practice so that the best interests of
 Children are achieved”
                    BICPM Summary Guide p.49
Reflective Practice is……


          Planning    Experience




         Reflection   Observation

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Best interest case practice model

  • 1.  Diploma In Community Service Work  CHCPROT7101A  Conduct complex Child Protection risk Assessment Best Interest Case Practice Model
  • 2. Key Message We can only do the “What” we do effectively if we attend to “How” we do it
  • 3. Best Interest Case Practice Model – BICPM- Summary Guide The BICPM should not be viewed by practitioners only as a risk assessment tool – It is a framework for practice
  • 4. Best Interests Case Practice Model  The best interests of a child are protected and promoted by ensuring the child’s right to  Safety  Stability  Development  For each child we must look at their safety,stability and development through the lens of the child’s culture, gender,age,stage and development  “In assessing,planning and acting to promote children’s safety, stability and development, Child Protection and family and placement services need to take account of a child’s age, stage of life and their culture and gender. Together these considerations provide a lens through which to view safety, stability and development and understand the unique circumstances and experiences of a child”- Best Interests Framework Page 12
  • 6. Best Interest Case Practice Model
  • 7. Overall Case Practice Model  BICPM has at its foundation a dual focus  The basic focus of any assessment and intervention must now be to answer the question- How is this child developing?- as well as “Is this child safe?” Core phases:  Information gathering  Analysis and Assessment  Decisions/Agreements for Action  Review  These phases should be seen as continuing processes occuring through all phases of family service,child protection and placement intervention, not single once off events that then form immovable “truths” about a child’s experience.
  • 8. Information Gathering Activity  Consider the following 3 questions keeping in mind the particular role of the service you have been asked to represent  What information do we want?  Why do we want the information?  Who do we have access to, to gain this information?  How do we gather this information?  You have 10 minutes
  • 9. Information gathering cont’d  As practitioners we must be mindful of not simply getting people’s responses to specific questions, but also of asking people the meaning of particular responses.  Asking young person who is significant family member to them and WHY.  OR – Asking young person who is not a significant family member to them and WHY NOT?  Requires curiosity and purpose in our thinking/behaviour so we are not making assumptions
  • 10. Information Gathering  “Information gathering is a dynamic, incremental, ongoing process. Throughout the life of a case, you will be testing and validating existing information and gathering and recording new information”  BICPM Summary Guide p.17
  • 11. Information-Gathering “Any risk or safety assessment or future casework is only as good as the quality of information on which it is based” BICPM Summary Guide p.17
  • 12. Information gathering – How we do it  The how when information –gathering is as important as getting the task done  We will have a better chance of true engagement with the family if we attend to the dynamics of our interaction with them  Engagement requires understanding of how trauma impacts on the child and family
  • 13. Tools used in Information Gathering  Genograms  Eco maps  Timelines Used to assist practitioners to  Develop early responses to children and families  Visual guides to think and act systemically  Draw out a families story
  • 14. Key domains of Information Gathering  Child or young person's safety  Child or young person’s stability  Child or young person’s development and wellbeing  Parent/carer capacity  Current family composition and dynamics  Family history  Social and economic environment  Community partnerships, resources and social networks
  • 15. Child’s Culture  Need to identify whether the child is  Aboriginal/Torres Strait Islander From another culturally and Linguistically Diverse background. “Culture in many ways defines who we are, how we think, how we communicate, what we value and what is important. Culture constantly evolves and adapts us and is always a significant and changing influence on us” VACCA- Victorian Aboriginal Child Care Agency 2000” Aboriginal Resources and Cultural Guide” P6
  • 16. Child’s age and stage of life  Specify child’s date of birth and describe their stage of life-  Need to establish a comprehensive sense of what this means in terms of stages of child development.  This must be take into account when considering how to respond to the child’s safety, stability and developmental needs.  Child’s age and stage alerts practitioners to the key developmental tasks that the child should be undertaking that then provides a base line for assessing and weighting the child’s developmental needs.  Practitioners also need to be attuned to vulnerability of infants and the likely impact of trauma and neglect for the child’s future safety, stability and development.
  • 17. Child’s Safety  Promoting a child’s best interests requires all practitioners to have the dual focus of safety and development  Need to keep at all times, the experience of the child in the forefront of their minds and ask themselves  WHAT DOES BEING SAFE MEAN FOR THIS CHILD GIVEN THEIR AGE,STAGE,CULTURE AND GENDER?  -REQUIRES WHEREVER POSSIBLE TALKING TO THE CHILD AND GAINING AN IDEA OF WHAT IT MEANS TO THE CHILD TO BE SAFE.!!!
  • 18. Child’s Safety Information  Important that child safety information is viewed through the lens of age,stage of development,culture and gender  A lack of provision of care can be life threatening for an infant, whereas an older child is more resilient.  For some cultures, provision of basic care may be undertaken by range of extended family members- May be appropriate way- does not necessarily imply that child’s parents are failing in their responsibilities.  For Aboriginal children connection to culture through family,extended family and community can be a critical protective factor.
  • 19. Child’s safety cont’d  Gender may have an impact on care provided, particularly if primary carer has displaced hostility towards the opposite sex due to abusive experiences. Is basic care provided?  We know child is safe when parents or carers are  Providing the basic care for the child’s immediate and future stability and healthy development Protecting the child from harm and it’s adverse consequences for the child’s immediate and future stability and healthy development. - Physical, emotional, social needs- nature of these will depend on their age, stage of life, culture and gender - Does the carer respond quickly and appropriately to child’s needs? - Does the carer consistently give priority to child’s needs over their own or partner’s needs?
  • 20. Protection from harm  Need to identify the actual or believed harm  Sources of harm  Pattern and history (of this child and of other children)  Opportunities for harm
  • 21. Protection from Harm cont’d  Being protected from harm means that the child is protected by parents from immediate, cumulative or likely harm to their safety, stability and development caused by  Abandonment  Physical injury  Sexual Abuse  Emotional or psychological abuse  Neglect  CYFA 2005 s162
  • 22. Actual or Alleged Harm  Need to clearly establish and describe the causes and incidents of harm.  Need to gather information about the severity of the harm.  How does this harmful behaviour impact on this particular child’s development, given their age stage,culture and gender?  On the basis of this family services practitioners will need to decide whether to contact Child Protection. Community Based Child Protection workers are also available to provide consultation and advice.
  • 23. Sources of Harm  Identifying the relationships, behaviours and situations that are causing harm to the child.  Remember this also includes risk taking behaviour by young person-Can be source of harm to themselves.  Need to gather information about the severity of the harm-Must be viewed through lens of age,stage,culture and gender.  HOW DID THIS HARMFUL BEHAVIOUR IMPACT ON THIS PARTICULAR CHILD’S DEVEOLPMENT AND SAFETY, GIVEN THEIR AGE,STAGE,CULTURE AND GENDER?
  • 24. Pattern and History for this child and other children  Provides a sense of the potential cumulative harm- The effects of patterns of circumstances and events in a child’s life, which diminish their sense of safety, stability and well-being.  Of crucial importance is the child’s subjective experience and meaning and significance and impact to the child.  Have there been previous incidents? How severe were these incidents?  What was the nature of these concerns- how were issues addressed at the time?  How long ago were these concerns? Does the space between indicate escalation?
  • 25. Opportunities for Harm-Access to harming parent,exposure to harm  Is the harming parent/carer the primary carer for the children?  Do they accept responsibility for their role in the abuse?  How does the primary carer ( if not the harming carer) understand the situation?  What protection can they offer the child?  How does the child understand the situation?  How does the harming carer view their role in the abusive episode?  How does the harming carer view the child?  Is their view of the child’s abilities consistent with their developmental stage?
  • 26. Child’s Stability Connection to the primary caregiver Connection to family/siblings Connection to school/childcare/friends Connection to community Connection to culture
  • 27. Child’s Development  Health and physical development  Family and social relationships  Emotional and behavioural relationships  Education/learning  Identity  Social presentation  Self-care skills
  • 28. Parent/carer capabilities  Involves assessing parent/carer capacity to protect children from harm and enhance their developmental experiences-  Parental attitude to the child and actual or alleged harm Parent’s capabilities for meeting the child’s needs  Previous history of parenting.  Providing basic care  Ensuring safety  Emotional warmth and responsiveness  Guidance and boundaries  Consistency and reliability  Stimulating learning and development.  Factors & circumstances diminishing parent’s capabilities.
  • 29. Parent/carer capabilities  Information gathered should come from variety of sources, including  Interviews with the child,parents/carers  Reviews of written records and reports  Observations during home visits and access  Contact with involved agencies, extended family members, representatives of cultural community  Consultation with colleagues and supervisors.  Donald and Jureidini (2004) Parenting Capacity, Child Abuse Review propose the central issue should be  “the parent’s ability to empathically understand and give priority to their children’s needs.”
  • 30. Parenting Capacity cont’d -Manitoba Risk Estimation System  Provides guidance to likelihood/probability.  Research was undertaken of 1500 cases of child protection and a predictability theory was developed where 3 constant dimensions were identified where abuse was occurring-  Pattern and history  Beliefs  Complicating factors
  • 31. Pattern and History  The first and most important dimension of caregiver characteristics that should be considered is their prior pattern with the respect to treatment of children. The number of maltreatment events they have initiated, their severity and recency are the most basic of guides to future behaviour.  In the absence of effective intervention these behavioural patterns would be expected to continue into the future
  • 32. Beliefs  If an individual believes that they are correct in their opinions about children, they will attempt to continue their behaviour so long as they are not prevented in doing so
  • 33. Complicating factors  Third dimension concerns the presence of complicating factors, most significantly- substance abuse,mental illness,social isolation and violent behaviour.  The relevance of complicating factors is the extent to which they singularly or in combination diminish the capacity to provide sufficient care and protection to the child or young person.
  • 34. Parenting capacity and Substance misuse  The misuse of drugs and/or alcohol may adversely affect the ability of  parents to attend to the emotional, physical and developmental needs  of their children in both the short and long term.  Studies often fail to evaluate the impact of substance misuse on  parenting capacity relative to other aspects of disadvantage, such as  poverty, unemployment or depression  • Parents are worried about losing their children, so confidentiality is  considered to be a requirement for support services  • Children often know more about their parents’ misuse than parents  realise, and feel the stigma and shame of this misuse, but also fear the  possibility of being separated from their parents and taken into care
  • 35. Family Violence  “In the situations of ongoing domestic violence, the repeated co-occurrence of intense need and utter helplessness leads to a chronic depressive state in which the child feels at loss to make and maintain satisfying emotional relationships.”  Lieberman and Van Horn 1998
  • 36. Family Violence  “From the perspective of attachment theory, witnessing the mother being attacked and wounded represents a profound assault on the child’s trust in the attachment figure as a reliable protector. When the child most needs her proximity, contact and reassurance, the mother cannot provide this comfort, because she herself is damaged and unavailable.”  Lieberman and Van Horn, 1998
  • 37. How trauma and deprivation can impact on parenting:  Inability to regulate own emotions  Never learning what healthy parenting looks and feels like.  Not knowing what to expect for healthy development  Dissociative states  Misinterpreting child’s normal behavioural and developmental responses as an attack.  Projecting image of perpetrator on to the child.  Maladaptive survival strategies, such as substance abuse.  Fear of child’s anger  Currently in fear or traumatisation.  Living in a state of chaos and crisis that crowds out anything other than survival (Annette Jackson, Take Two/Berry Street)
  • 38. Parenting Capacity cont’d  Recent Government Framework document-UK.  Parenting capacity-”ability of parents/caregivers to ensure that child’s developmental needs are being appropriately and adequately responded to, and to be able to adapt to the child’s changing needs overtime. This includes providing for child’s basic physical needs, ensuring their safety, ensuring their emotional needs are met and giving child sense of being specially valued, promoting the child’s intellectual development through encouragement and stimulus, demonstrating appropriate behaviour and control of emotions and providing a sufficient stable family environment
  • 39. Strength Based Practice  Assessing parenting capacity must also have a strength based focus. This assists in identifying the strengths and skills already possessed by the parents which can then be supported by interventions.  Strength based focus on positive aspects of family functioning does not imply that family difficulties and children’s safety and development is forgotten.  The approach is child-centred and family focussed. The best interests of the child are paramount, while maintaining a focus on building family members competence in order to tackle problems and issues effectively.- Best Interests Case Practice Model for Family Services,Child Protection and Placement Services
  • 40. Family composition and Dynamics Family/household composition &relationships Family history and dynamics Cultural content Involvement of extended family/possible carers.
  • 41. Social and Economic environment Housing employment patterns income
  • 42. Community partnerships, reources and networks  Networks, including engagement with support services and family integration  Available community resources
  • 43. Definitions  Harm/Cumulative Harm  Impact  Vulnerability  Sustainability  Culture Activity: define these terms
  • 44. Cumulative harm Child’s unmet needs = harm to development over time ‘Research evidence has shown that a child can be as severely harmed by the cumulative impact of less severe risk factors e.g. neglect and family violence, as by a single, severe episode of harm’ Summary guide page 8
  • 45. Harm- Considerations  What has happened or is likely to happen to the child?  Distinguish between harm and harm causing behaviour?  Describe the evidence of harm, i.e injuries, behaviours which indicate harm, developmental delay that has been assessed by a medical professional as being non-organic, high risk adolescent behaviours etc.  Harm= Acts of omission and commission
  • 46. Impact- Considerations  What effect has the harm had on the child’s safety,stability and development?  How severe do you judge this impact to be?
  • 47. Vulnerability - Considerations  Considering the child’s age, stage, culture and gender, how do these factors increase/decrease this particular child’s vulnerability to further harm?  Does the child’s particular temperament/personality impact on their vulnerability to further harm?  Does the child have a physical/intellectual disability that adds to their vulnerability to further harm?  Are there socio-economic factors that make this child more/less vulnerable to further harm?  Do family patterns indicate increased vulnerability to the child?
  • 48. Vulnerability  Vulnerability can be defined as those innate characteristics of the child or those imposed by their family circle and wider community that might challenge or threaten development.  ( Daniel,Wassell & Gillgan1999)
  • 49. Sustainability - Considerations  Where strengths and/or protections have been identified, how do we assess the likelihood that they can be sustained over time? Strengths should not be confused with safety
  • 50. Culture - Considerations  Culture is a broadly-defined concept that encompasses a child’s core identity, the meaning of that identity to that child and their family, and the wraparound scaffolding that maintains that cultural identity i.e. family/cultural connectedness (extended family, community), family rituals and customs, stories and music etc. Key message: Culture is not a “Yes/No” question to be ticked off!!
  • 51. Analysis and Planning  “Analysis and planning is professional judgement that is informed by your collaboration with the family and other professionals, and the integration of the relevant evidence base. This process uses both analytic and intuitive reasoning. Analytic reasoning is logical and evidence based, and grounds the intuitive, to form a clear rationale as the basis of any action. Each brings to practice, a balance and wisdom of its own”  BICPM Summary Guide p 29
  • 52. Resource Key reference: “Effective Child Protection Practice” (Eileen Munro, 2002) - relevant to all who work with vulnerable children and families, not just Child Protection practitioners.
  • 53. Analysis and Planning  Need to organise information and consider it’s implications for the child and family.  ANALYSIS OF HARM TO THE CHILD  What has happened in the past and more recently and what have been impacts on the child?  Pattern and history- identify any cumulative harm.  Impact of harm on the child’s stability-( in terms of connection to family and community) and development- ( how child’s development is being harmed, in terms of 7 life areas.  Severity of impact of harm to child’s stabilty and development and whether harm is immediate or associated with a cumulative pattern.
  • 54. Analysis of harm to the child cont’d  Important part of analysis of harm- Severity of harm  After consideration of available information at this point in time, you are on balance more inclined to form view-  That concerns currently have low to moderate impact on the child and the immediate safety of the child is not compromised  OR  The concerns currently have a serious impact on the child’s immediate safety or development, or the concerns are persistent, entrenched and likely to have a serious impact on the child’s development.  Vulnerabiilty of the child- consider age,stage, gender of the child and build a picture that considers the factors that increase or decrease the child’s vulnerability
  • 55. Future risks to the child.  Consider – What likely to happen in the future given what we know about this child and their family circumstances?  Vulnerability of the child  Pattern and history  Impact of factors diminishing parental capability.- Complicating factors, parental characteristics  Impact of family composition and dynamics  Impact of the social, community and economic environment  Likelihood of future harm to a child’s stability and development.  To reach a conclusion that a child is likely to be safe from future harm, practitioners need to see demonstrated actions in a range of contexts, over a significant period of time
  • 56. Sustainability of protective factors  Balanced risk assessment- considered the potential for safety as well as potential for harm- Even in worst case scenarios there will be some strengths- a focus on strengths and protection does not equate with minimising harms.- must be balanced weighting of relevant information.- Need to be able to identify resources within the family that could meet the child’s safety and developmental needs.  Parental strengths including their attitudes and capabilities  Support from family,extended family, alternative carers & significant others  Access to and engagement with formal services and informal networks of support.  Cultural support  Demonstrated signs of safety.
  • 57. Child’s Needs  What does this child need now and in the future, in relation to theirsafety, stability, development, taking into account age and stage of life?  In considering a child’s developmental needs, what does this child need now and in the future to protect and promote their cultural identity and connection?  What is the extent to which these needs  Are being met now?  Are likely to be met in the future
  • 58. Promoting the child’s best interests  The identified needs of the child in terms of safety, stability and development will form the basis of best interests planning and action.  What are the risks and needs of this child?  What is the rationale for weighting these risks and needs, taking account of The impact of past harm on the child.  Whether the child is currently protected from harm  The probability of future harm( based on past patterns and history and the cumulative harm to the child).  What is your goal in working towards the best interests of this child?  What has already been tried and what was the result?
  • 59. Promoting the child’s best interests – cont’d  Is the parent willing to prioritise the child’s needs? Can this caregiver provide what this child needs now and in the future?  What are the views of the child, parents, family, significant others and other professionals?  What will be the most effective approach to meeting the child’s current safety, stability and developmental needs, taking account of available resources?  What can be done to promote the child’s future safety, stability and positive development?
  • 60. Decisions/Agreements for Action  Or what is known as Safety, Stability and Development statement-  Need to include-  Are there concerns for the child’s well being?  Does the child require other interventions to ensure their well being?  Has past harm or risk of harm been substantiated?  Does it appear that that this child is in need of protection?  Does the child need alternative care?  What is the evidence for this decision?  What forms of assistance does this family need?  What other actions are required to ensure the ongoing safety, stability and development- Do not forget to think about likelihood of future harm
  • 61. Decisions/Agreements for action cont’d  What is your plan?  What needs to be done  By whom?  When?
  • 62. Children Court Orders  In Child Protection there are a number of thresholds or level of concerns which serve to inform decision making. Analysis and assessment provide the basis for identifying when a threshold has been reached. For example when a child is removed from the parent’s care, the evidence must at a minimum support a view “unacceptable risk of harm to the child” (s.10(3) (g)CYFA. – Advice number-1336- Protection Order descriptions- CP manual  SIGNIFICANT HARM  Clear understanding is fundamental requirement for Child Protection workers. Significant harm is not defined in CYFA- however Justice O;Brien in the Supreme Court decision of Director-General of Community Services Victoria v Buckley(1992)(unreported) defined “significant” as
  • 63. Significant Harm-cont’d  Justice O;Brien  “More than trivial or insignificant, but need not be as high as serious  Important”  Important or of consequence to the child’s development.  It is irrelevant that the evidence may not prove some lasting permanent effect or that the condition could be treated
  • 64. Likelihood of Significant Harm  Likelihood of significant harm is central consideration in the development of the current assessment throughout Child Protection involvement. It is a primary driver for continued Child Protection involvement after substantiation or for making a protection application to court.  Where the likelihood of significant harm is assessed as posing”an unacceptable risk of harm to the child s10(2)(g) CYFA, the threshold for removing a child from their parent’s care has been reached.  A view on likelihood requires consideration of  Pattern and history of care-giver behaviour- frequency,severity,duration,type of harm caused.  Parental beliefs, values and motives in relation to the child and other children
  • 65. Likelihood of Significant harm – cont’d  Contributing /complicating factors – substance abuse,mental illness,violent behaviour,social isolation, disability and their impact on parental capacity.  Needs of child- developmental, medical or other special needs  Child’s behaviour- including risk taking, harm to self and others.  Refer to Advice number 108- Child Protection manual for more information  Read Analysis and assessment in best interests case practice- Advice number 1535- Child Protection manual
  • 66. Assessment Framework  Analysis and planning aims to assist practitioners to integrate the information they have gathered into a current assessment that leads to a well considered plan.
  • 67. Weighting of information to assist in Risk Assessment When weighting up information you have obtained in completing your assessment of risk to the child the following should be included in your analysis  Child and young person’s vulnerability (including age, stage, culture and gender)  What are the protective concerns related to the child (actual harm and believed harm – relating back to CYFA 2005 s.162)  Pattern and History of harm to the child (has there been any previous CP intervention and what has this related to)  Identified strengths and protections within the family. (what are the family willing to do and what have they demonstrated they can do to ensure a child’s safety)  What are the consequences of harm to the child (relating to theories of trauma, attachment and development)  Engagement of family (who is involved with the family currently and historically, what has this engagement looked like)  What are the needs and rights of the child?
  • 68. Articulating Your Analysis “Practitioners need to be able to present evidence to the Children’s Court that shows the effects of harm…and future risks to children’s safety, stability and development. The Court will also want to know the rationale for professional judgements and decision-making, what assistance has been provided to the family and the outcomes of previous interventions, all supported by evidence.” Summary Guide p.4
  • 69. Professional Judgement “It is important that practitioners are aware of the problems associated with professional judgement. These problems include a lack of recognition of known risk factors, the predominance of verbal evidence over written, a focus on the immediate present or latest episode rather then considering significant historical information, and a failure to revise initial assessments in the light of new information” (Munro,1999)
  • 70. Professional Judgement – Evidence Based Practice  Professional Judgement – can be influenced by your own life experience, values and beliefs, culture and education.  Evidence Based Practice – factual information drawn from your own observations, credible information from other parties, expert opinions from professionals which will either corroborate or refute information gathered.
  • 71. Spot the difference 1. “The child is at risk due to exposure to parental substance abuse, the parent has refused to access a treatment service and has not complied with Child Protection’s investigation. This child needs a safe and stable environment where her physical and emotional needs are met.”
  • 72. Spot the difference 2. “The child’s physical safety is at risk as the parent’s substance use occurs when the parent is the sole supervisor of the child. The child displays evidence of harm to her development in her delayed speech, her untreated eczema and her significant weight loss over the past month”
  • 73. Action  Action is not simply making a recommendation to the Children’s Court, or developing a Best Interests Plan, or holding a case conference.  Action is each intervention you and other practitioners undertake with a child and family.
  • 74. Action “Any action should be based on sound analysis and be purposeful towards engaging the family members in a change process” Summary Guide p.38
  • 75. Actions  Any actions taken must evolve from an analysis of the available information.  Actions must where possible be taken in partnership with the family and with a professional network/care team.
  • 76. Key Message “Where there is harm, referral to another service will not ensure that the family will engage or that change will occur. There needs to be active casework to ensure that the family engages with the service in a meaningful way.” (Summary Guide p.29)
  • 77. Review “Review is the continual process of being curious about our effectiveness” Summary Guide p.45
  • 78. Review “Review information frequently. Identify gaps. Be open to changing your initial views rather than interpreting new information in a way that supports a pre- existing opinion of a child or family” BICPM Summary Guide p.17
  • 79. Review “Good practice requires competence and courage about what we do know, but an openness and humility about what we might not know” Summary Guide
  • 80. Reviewing Outcomes  Review information frequently  Identify gaps  Be open to changing your initial view then rigidly defended as the ‘truth’ about the family.  Ensure regular supervision  Review cases with peers  Engage in reflective practice  Have sound judgement
  • 81. When do I do an Assessment of Risk When completing a risk assessment you are referring to a single point in the life of a case and therefore your assessment is limited and will require modification as further information is received.  Intake  First Visit (2 and 14 day KPI’s)  Investigation – substantiation decision (28 day KPI)  Information received that raises concerns for a child safety and wellbeing – Familial or non familial allegations  Decision to Issue Protection Application or breach an existing order  Decision for out-of-home care / Kinship placement  Case Planning (6 weeks pre and post court order)  Quality of care or Abuse in care investigation  After conducting routine home visits  Movement of Phase (90 day KPI for Protective Intervention – closure)
  • 82. Key considerations  What has been tried and worked/not worked before to protect and promote the child’s safety and wellbeing  What is required to protect and promote the child’s safety and well being  What mix of professional and non professional support is required to assist the family in sustaining change  Out-of-home care – considerations of kinship options, contact and access, care team, LAC, reunification and leaving care. Sustaining engagement with the child, young person and family, ‘getting them on board of a gaol for change’ is the key to achieving positive outcomes for your clients.
  • 83.  The best interests of a child and young person should at all times be the paramount considerations in determining what action to take.  BICPM Summary Guide p37
  • 84. Trauma and Development “Remain compassionate to the distress that children and families experience and mindful that anger and resistance usually reflect the hurt and overwhelm that lies beneath” (Summary Guide p.15) BICPM Training: Wed 15th July 2009 84
  • 85. Trauma and Development  The parents of the children we work with are often impacted by trauma themselves.  What we may label as “difficult”, “resistant”, “not listening”, inconsistent” may indeed be behavioural indicators of a trauma history BICPM Training: Wed 15th July 2009 85
  • 86. Understanding Trauma and Development There are numerous tools and resources available to support and assist you in your analysis and planning for children, young people and their families  Child, Youth and Families Act 2005  Best Interests Case Practice Model Summary Guide  Victorian Charter of Human rights and Responsibilities (as set out in the Charter of Human Rights and responsibilities Act 2006)  Professional Supervision  Child development and Trauma guide  Best Interest principles: Conceptual overview  Cumulative Harm: BICPM Specialist practice Resource  Infants and their families: BICMP Specialist practice resource  Children with problem sexual behaviours and their families: BICPM Specialist practice resource  Adolescents and their families: BICPM Specialist practice resource  Adolescents with sexually abusive behaviours and their families: BICPM Specialist practice resource  Principal Practitioner  Every Child Every Chance  Office of the Child Safety Commissioner  Child Death Inquiries - Reports  Child Protection Manual  Case Planning  High Risk Infant Manager and Specialist Infant Protective Workers
  • 87. The Best Interests Case Practice model  Is -  relationship based, child focussed, family centred  ecological and systemic  culturally competent
  • 88. The model is (cont)  developmentally and trauma informed  gender aware and analytical  dynamic and responsive
  • 89. The model is (cont)  based on professional judgement  strengths based  outcomes focussed
  • 90. Legislative Considerations for Decision Making  CYFA 2005 s.10 – Best Interest Principles  CYFA 2005 s.11 – Decision Making Principles  CYFA 2005 s.12 – Additional Decision Making principles for Aboriginal children
  • 91. Key Domains of Decision Making  Ensure the safety and wellbeing of the child, young person and their family  What supports are need  Case Planning  Child’s wellbeing is it being protected and promoted  Out-of-home care
  • 92. Reflective Practice The BICPM requires reflective practice: “In Victoria there is a strong commitment to strengthening a culture of reflective practice so that the best interests of Children are achieved” BICPM Summary Guide p.49
  • 93. Reflective Practice is…… Planning Experience Reflection Observation

Hinweis der Redaktion

  1. Case Examples/activity/group discussion – to draw out people’s thinking about what this means i.e. mother leaving violent partner and taking kids to a refuge – what makes this sustainable? Placements – testing sustainability, what makes placements ongoingly viable Encourages participants to take and ecological perspective of a child and family’s situation and think broadly about what promotes sustainability and what practitioners can do to assist in this.
  2. Consult with Aboriginal Children and Families Unit re-activity/articles etc that will prompt people’s thinking regarding culture.
  3. Non CP participants need to be included in discussions about articulating analysis, to counter the possible attitude that court-related practice is limited only to CP. Articulating Analysis should appear in case notes/planning in all services, and CSO’s may well be subpoenaed to court anyway. Articulating analysis is also important for workers in their relationship with the child and family – if we can give clear rationales to the family about why we are making particular plans/recommendations the family are more likely to see the issues in light of their child’s needs rather than their own behaviour.