2. Specialist Education provision for children and young people aged
between 5- 14 with complex Social, Emotional and Behavioural Needs.
Provide services on both a national and regional basis, with children
being referred by local authorities throughout the whole of Scotland.
We offer a 24 hr curriculum, providing rich opportunities for children to
learn and grow within and beyond the classroom.
3. Parent/Carer Involvement
Ongoing contact via phone, email, visits to Harmeny,
Homevisits
Harmeny Parent/Carer group
Parent/Carer events
Family interventions
Resilience Assessment
Supporting family contact
5. Barriers that can Impact on our work with
families
Parent/Carers experiences of working with professionals
Family feeling judged/attempting to withhold information for fear of
consequences
Individual needs of Parents/Carers and lack of understanding of child’s needs
Substance misuse/mental health difficulties
Location, transport, employment or additional commitments of a family
Lack of relationship/infrequent communication from workers
Confidence and skills of the worker/professional
6. Resilience Assessment Process
13 week
Gathering
Information
Period
Assessment
Setting Goals
and Targets
Direct Work
and
Interventions
Core group
meetings &
Evaluation
7. Professional development within teams
Dyadic Developmental Psychotherapy (DDP) is based on and brings together
attachment theory, what we understand about developmental trauma, the
neurobiology of trauma, attachment and caregiving, intersubjectivity theory and
child development.
Troubled children may have had many changes in the people who look after them
and find it hard to trust adults. They may believe that parents aren’t safe and can’t
always be turned to for comfort and help. They may develop insecure attachments
and try to stop their new parents from becoming emotionally close to them
(Hughes. D, 2017)
8. PACE APPROACH
PLAYFULNESS
Brings enjoyment to the relationship
ACCEPTANCE
Creates Psychological Safety
CURIOUSITY
Explore within a relationship- we express a desire to know the
other more deeply
EMPATHY
Communicates our curiousity and acceptance, as we recognise
and respond to other’s emotional experiences
9. Brain Based Parenting Hughes,D (2012)
“Stressed out adults are parenting in survival mode, using primarily
the lower, more primative brain systems, which automatically come
into play during day to day existence. Such parents need to calm
the over reactive limbic and stress response systems and tame the
amygdala before they can awaken the prefrontal cortex. In short
we must help them dial down their defensive reaction system
before they can access the higher brain systems needed for self
reflection, emotional, regulation and empathy”
10. What changed……
Looked at ways to Increase our time with families
More able to hear “their story”
Experience the “child’s world” away from school
Develop connections between home and school
DEVELOPMENT OF RELATIONSHIPS
11. “Sometimes children’s needs would be met best by meeting their parents
personal needs”. P Crittenden (2008) (Raising parents)
“People who are not cared for, don’t care. It’s not seeking attention, its
connection.” John Carnochan (2016), former head of Police Scotland’s Violence Reduction Unit
12. Continuing Challenges……
As workers we continued to feel overwhelmed by the overall needs of the
family.
Role modelling was not enough if values/beliefs differed
How to evaluate progress and manage time/resources more effectively
Ways in which to work with the whole “family system” to create long term
change
13. “The idea of a systems approach is to recognise that the way people behave and
the problems they have, develop within the context of people that surround
A systems approach to work with families involves focusing on the whole family as a
functioning unit.
The focus of work when taking a systems approach is on the system and the context in
which behaviour takes place, not the individual difficulties that bring families to the
attention of agencies.
Difficulties do not arise within individuals but in the relationships, interactions and
language that develop between individuals, family members
5
Systemic Practice:
“Understanding the family system”
500 × 400 -
14. Considering Systems around the child
Child ACAMHS
Volunteer
Agency
Befriending
Agency
Harmeny
School
Social Work
Educational
Psychology
Child's
Family
15. Significant events and transitions
Stress in the family’s development is at its highest level as the family
move from one phase of life to another. Most families manage transitions,
sometimes with difficulty, but a few get stuck in this process and negative
behaviour patterns can emerge as family members struggle to adjust to
the new situation.
It is important that workers explore, when problematic behaviour started
and what was happening in the family around the same time
16. Developments in Practice
“What Is the difference that makes the difference!”
To move away from worker being the expert
Clear and agreed understanding of what it is that needs to change
Increased focus on Genograms and chronologies
Setting homework tasks for family members to undertake between sessions, trying
to disrupt existing behaviour patterns in the belief that family might experience
different possibilities.
Reflecting team conversation, offers different perceptions and possibilities to
families difficulties and beliefs, highlights family strengths.
Therapeutic Documents, reinforces strengths, reframe behaviour,.
17. Group Discussion
Consider existing barriers and ways to
develop Parent/Carer engagement within
your organisation.
CONTACT DETAILS:
Leanne.mcleod@harmeny.org.uk
Tracy.white@harmeny.org.uk
Hinweis der Redaktion
Introductions
Some of the ways Parents/Carers are involved when they come to Harmeny
Over recent years we have focused on developing our work with families, particularly within the Day service.
DVD clip to Capture Parents/carers views
Many barriers for us to consider
With The Day service Team we had more ability to offer direct work with Families from point of admission
Offered each family regular homevisits.
Recognised the need for relationships and connections
Involvement in resilience assessment, began to offer a picture of the child’s secure base – from that developed more understanding of the parents needs
Identified what WE felt needed to change, based on information we had and what the family had told us.
Offered a variety of interventions to different families
Alongside this, we also developed our knowledge and practice as a team
I have added this in as also relevant when considering some of the experiences of parent/carers
Link to DVD
A way of interacing with parents and carers too to form connections
Consider the reasons for some of the barriers to working and apply these theories to the parent/carer relationships with professionals.
Barriers were still evident and it was a challenge to change behaviours and patterns within families
Trying to change intergenerational patterns of behaviour that contributed to dysfunction within the family system
– perception of us telling the families what needed to change. Families would follow guidance but revert to patterns during times of crisis
How much the family system impacts on the child.
Year long pilot with a group of workers
Placed much more focus on the family system by developing chronologies/genograms and gathering more info at referral stage….
Asking parent/carers to evaluate their experiences
Consider past, present and future