357 Model: An Innovative Practice Approach to Achieve Permanence with Older Children and Youth - PowerPoint PPT Presentation

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357 Model: An Innovative Practice Approach to Achieve Permanence with Older Children and Youth

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Title: 357 Model: An Innovative Practice Approach to Achieve Permanence with Older Children and Youth


1
3-5-7 Model An Innovative Practice Approach to
Achieve Permanence with Older Children and Youth
  • Darla L. Henry, PhD, MSW
  • Family Design Resources, Inc.
  • September 2006

2
Preparing Children For Permanency
3
CORE WORK
  • LOSS
  • Repeated, profound losses
  • SAFETY
  • Grieving for a child is search for safety
  • ATTACHMENTS/RELATIONSHIPS
  • Who will help with the pain of loss?
  • RESILIENCE
  • Ability to cope with /adapt to risks

4
WHAT is it in PENNSYLVANIA?
  • Collaboration County and private agencies,
    professionals, parents
  • Written Plan
  • Specialized Workskills, knowledge,
    techniques
  • Use of the 3-5-7 Model as a practice
    framework

5
BEST PRACTICE PROCESS
  • Work with children requires specialized skills
    grief/loss, attachment, engaging children
  • Engaging children requires patience,
    understanding developmental stages, sensitivity
    to and knowledge of childs trauma

6
3-5-7 MODEL
7
3-5-7 MODEL
  • GUIDE for WORKERS FAMILIES
  • FRAMES WORK of
  • RECONCILING LOSSES
  • REBUILDING RELATIONSHIPS THROUGH ATTACHMENTS
  • CLAIMING/BELONGING TO FAMILY TOWARDS PERMANENCY
  • PROVIDES a COMMON LANGUAGE
  • ESTABLISHES BEST PRACTICE

8
BEST PRACTICE PROCESS
  • Ensures children have opportunity to reconcile
    losses
  • - in a safe environment
  • - to ask questions
  • - feel positively about prospective families
  • (attachment)
  • Helps children establish a more secure foundation
    for identity formation by maintaining their
    biological and placement history

9
IMPLEMENTATION
3-5-7
  • COMPLETION OF 3 TASKS
  • ANSWERING 5 CONCEPTUAL QUESTIONS
  • USE OF 7 CRITICAL SKILL ELEMENTS

10
3 TASKS
  • CLARIFICATION
  • understand reasons for being in care/
  • life events
  • INTEGRATION
  • acknowledgement of being a member of several
    families
  • ACTUALIZATION
  • visualize membership in permanent family

11
5 Questions
  • Who Am I?Identity
  • What Happened To Me?.Loss
  • Where Am I Going?.Attachment
  • How Will I Get There?..Relationships
  • When Will I Know I belong?... Claiming/Safety

12
7 skill Elements
  • ENGAGE the child in the process
  • LISTEN to the childs words
  • When you speak, TELL THE TRUTH
  • VALIDATE the child and their story
  • Create a SAFE SPACE for the child
  • Its Never too late to GO BACK IN TIME
  • PAIN IS PART OF THE PROCESS ! !

13
CLARIFICATION
  • Practice issues
  • --------------------------
  • IDENTITY
  • Developmental
  • where child currently sees self
  • LOSS
  • Primary (abuse/neglect)
  • Secondary (placements)

What Happened to Me?
Who am I?
READINESS
14
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15
THE LOSS EXPERIENCE
  • Events
  • PRIMARY TRAUMA
  • Abuse physical and/or sexual
  • neglect
  • abandonment sudden/episodic
  • SECONDARY TRAUMA
  • Placement (LOSS)
  • Re-placement (more LOSS)
  • Stigmatization (official LOSS)

16
DIAGNOSIS
  • Post traumatic stress disorder (PTSD)
  • Oppositional defiant disorder (ODD)
  • Conduct disorder
  • ADD/ADHD
  • Reactive attachment disorder (RAD)

17
DISENFRANCHISED GRIEF
  • The grief that is experienced when a loss is
    incurred that is not or cannot be openly
    acknowledged, publicly mourned, or socially
    supported

18
Circumstances of Disenfranchised Grief
  • Relationships are unrecognized
  • Loss is unrecognized
  • Griever is unrecognized
  • Loss is somehow stigmatized

19
ACTIVITIES/EXERCISES
  • GRIEVING LOSSES
  • PAINFUL RESPONSES TO TRAUMA/LOSS
  • INTENSIFYING OF FEELINGS AND BEHAVIORS (PROTEST
    TO RAGE)
  • LIFE BOOKS
  • LIFE MAPS
  • ECO-MAPS
  • LOSS LINE
  • From Recipes for Success

20
The Life Map of a Child
Boyfriend kept Threatening to kill my
mom Summer 2000
Lived With Mom and Her family 05-22-00- 6-15-00
Moved with Mom to live with her
boyfriend 6-15-00
Billy Born 05-22-00
Moved with my Dad To live with his parents And
his girlfriend 9-00
Dad came home moved back in with him
girlfriend left 12-03
Dad went to jail stayed with girlfriend and
dads parents 02-03
Dad and girlfriend Got their own Apartment
took me with them 06-02
Met my mom again 01-05
21
Life Map
22
INTEGRATION
Where Am I Going?
  • Practice Issues
  • --------------------------
  • IDENTITY
  • Who was I? What role did I play?
  • LOSS
  • Why am I no longer there?
  • ATTACHMENT
  • Who was important to me who did I relate to how
    was I viewed?

What Happened to Me?
Who am I?
READINESS
23
Show and Tell
24
ATTACHMENT CYCLE
Physical or Psychological Need
Behavioral Response
Stopping or Lessening of Behavior
SECURITY TRUST ATTACHMENT
Satisfaction Of Need
25
Adaptive/Modified Attachment (Dee Paddock)
SECURITY TRUST ATTACHMENT
DAD
MOM
SIBLING
MOM
NEW CHILD
DAD
CHILD
26
Building A Relationship
  • Continuity
  • Stability
  • Mutuality
  • Reciprocity

27
TRAUMATIZED CHILDREN NEED
  • STRUCTURE
  • CONSISTENCY
  • PREDICTABILITY
  • CONTROL

28
ACTIVITIES/EXERCISES
  • MULTIPLE FAMILY MEMBERSHIPS
  • NO NEED TO CHOOSE ONE FAMILY
  • EXPLORE LOYALTY TO BIOLOGICAL FAMILY
  • LIFE BOOK (CONT)
  • COLLAGES
  • From Recipes for Success

29
COLLAGE
30
ACTUALIZATION
When will I Know I Belong?
I
How will I get There?
  • Practice issues
  • --------------------------
  • IDENTITY LOSS ATTACHMENT RELATIONSHIPS
    SAFETY
  • CLAIMING/BELONGING
  • WELL-BEING PERMANENCY


Where am I Going?
What Happened to Me?
Who am I?
READINESS
31
(No Transcript)
32
Building the Relationship
R E L A T I O N S H I p
Adults World
Childs World
33
LOVE IS ESSENTIAL, BUT NOT WHERE YOU BEGIN
  • BASIC PHYSICAL NEEDS
  • SAFETY AND SECURITY
  • LOVE AND BELONGING

34
ACTIVITIES/EXERCISES
  • Sand jar
  • Loss line
  • From Recipes for Success
  • RECONCILIATION OF LOSSES
  • ACCEPTANCE OF FAMILY WHO WILL PROVIDE PERMANENCY
    HOME

35
PRACTICE ISSUES
  • INDIVIDUAL and/or GROUP
  • TIME of DAY/ DAY of the WeeK
  • CONVENIENT CONSISTENT
  • PLACE FOSTER HOME/OFFICE/SCHOOL
  • SAFE SPACE PRIVACY NO DISTRACTIONS
  • SIBLINGS
  • IF TOGETHER-USE NEUTRAL PLACE
  • SEPARATE IF THEY HAVE DIFFERENT AGE AND
    DEVELOPMENTAL LEVELS
  • SEPARATE IF THEY HAVE DIFFERENT
    ADOPTERS/PERMANENCY PLANS

36
PRACTICE ISSUES
  • CONTINUITY OF PROCESS
  • TIME FRAME
  • (10 SESSIONS/6 MONTHS)
  • CHILDS PACE
  • PREPARATION WORKER ROLES
  • FOSTER/BIOLOGICAL PARENT
    INFLUENCES (e.g.PLACEMENT CHANGES)

37
PRACTICE ISSUES
  • AGENCY CAREGIVERS
  • PROVIDE TRAINING INFORMATION (WRITTEN) TO CYS
    STAFF AND TO FOSTER AND BIOLOGICAL PARENTS
    REGARDING THE PREPARATION PROCESS
  • CHILD PREPARATION PROCESS
  • LOSS, ATTACHMENT, HURT, FEARS OF CHILDREN
  • LISTEN/HONOR FEELINGS OF CAREGIVERS
  • PROVIDE SUPPORT/SUPPORT GROUPS

38
SURVEY RESULTSChild Welfare Agencies
  • Effectiveness (mean3.75)
  • Depends on skills of worker
  • Life book helps effective with older children
  • Grief and loss changes (mean3.18)
  • Gives messages ok to grieve
  • Behavior may not change, but more insight

39
SURVEY RESULTSCHILD WELFARE AGENCIES
  • Self identity changes (mean3.27)
  • Begins self awareness process
  • More self-sufficient and empowers them
  • Level of satisfaction (mean4.09)
  • Level of skill of workers is high
  • Even if activities are not successful, work is
    done in stellar manner
  • Other changes
  • Deeper appreciation of birth family and history
  • Boosted self esteem
  • More willing to work with caseworker

40
SURVEY RESULTS PRIVATE PROVIDER AGENCIES
  • Effectiveness (mean4.61)
  • Child friendly more engaged
  • More training of staff is needed
  • Adequacy of 6 months (mean3.63)
  • Depends on previous work done with child
  • Varies with cooperation of foster parents
  • Grief and loss change (mean3.50)
  • Have language to express experiences and feelings
  • Difference in those with service and those not

41
SURVEY RESULTS PRIVATE PROVIDER AGENCIES
  • Self identity change (mean-3.71)
  • Better understanding of own story
  • Greatest change in IL kids
  • Other changes
  • More peaceful
  • Make stronger connections to people
  • Level of satisfaction (mean4.71)
  • As get more involved, more interested in process
  • Preparer need training

42
FAMILY DESIGN RESOURCES INC.
  • 1-717-231-6424
  • dhenry_at_familydesign.org
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