engaging families: meeting requirements while building ... · the aapi-2.1 is an inventory designed...
TRANSCRIPT
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Engaging Families: Meeting Requirements While Building Relationships
PresPresented by:Gisela Jimenez Vazquez, M.Ed.Program Director for Parents as Teachers MaricopaWendy Puga, M.B.A.Senior Program Director for Parents as Teachers Programs
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Objectives• Participants will learn about some of the tools used in Home
Visitation to measure the strengths and needs of families.
• Participants will learn strategies to build rapport when working with new family in order to facilitate their willingness to participate in the screenings.
• Participants will discuss ways to make assessment tools more meaningful to staff and families, including setting goals and showing program outcomes.
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Tools Used in Home Visitation
• Family Centered Assessment & Life Skills Progression
• Parenting Interactions with Children: Checklist of Observations Linked to Outcomes
• Depression, Anxiety, Stress Scale
• Adverse Childhood Experiences & Protective Factors
• Adult Adolescent Parenting Inventory
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Family Centered Assessment and Life Skills ProgressionFamilyCenteredAssessmentSetofquestions askedtofamilies,formallyorinformally,togettoknowthembetterintheareasidentifiedbytheprogram.
Background/ChildhoodPerceptionofChild&ExpectationsofDevelopmentFamilyandSocialRelationshipsLifeStressors,UseandAccesstoResourcesLifestyleBehaviorsSafety,Environment,Home
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LifeSkillsProgression(LSP)Familyfunction assessmentwhichhelpsidentify familyneedsandstrengthsinthefollowing areas;caregiverrelationshipswithchildren, homesafety,useofresources, familyoverallhealthandaccesstomedicalcare.TheFamilyCenteredAssessment iscompletedtogathernecessary informationforLSPscores.Theinitialisdonewithin90daysofenrollment, andevery6months after.
Family Centered Assessment and Life Skills Progression
http://www.lifeskillsprogression.com/
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PICCOLOParentingInteractionswithChildren:ChecklistofObservationsLinkedtoOutcomesMeasuresareasofparent-childinteractionona0-2scale.Provideshomevisitorswithinformationaboutstrengthsandareasforimprovementthatguidestheparent-childinteractionactivities.
Thevideo-taped10-minuteinteractionisscoredintheareasofAffection,Responsiveness,Encouragement,andTeaching.
Initialiscompletedwithin90daysofenrollment,andevery6monthsafter.
https://products.brookespublishing.com/
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Depression, Anxiety, and Stress ScalesDASS-42
Asetofthreeself-reportscalesdesignedtomeasurethenegativeemotionalstatesofdepression,anxietyandstress.
Initialiscompletedwithin90daysofenrollment,everysixmonths and/orasneeded.
http://www2.psy.unsw.edu.au/dass/
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Adverse Childhood Experience (ACE) QuestionnaireAdverseChildhood Experiences (ACEs)isthetermusedtodescribe alltypesofabuse,neglect,andotherpotentiallytraumaticexperiencesthatoccurtopeopleundertheageof18.ThepresenceofACEsdoesnotmeanthatachildwillexperiencepooroutcomes.However,children’s positiveexperiencesorprotectivefactorscanpreventchildren fromexperiencingadversityandcanprotectagainstmanyofthenegativehealthandlifeoutcomesevenafteradversityhasoccurred.
Thissurvey isconductedwithin90daysofenrollmentwiththeparent/guardian.ItisconductedduringthesamevisittheProtectiveFactorSurveyisconducted.
AdverseChildhoodExperience(ACE)QuestionnaireFindingyourACEScore
Whileyouweregrowingup,duringyour first18yearsoflife:1.Didaparentorotheradultinthehouseholdoften…Swearatyou, insultyou,putyoudown,orhumiliateyou?orActinawaythatmadeyouafraidthatyoumightbephysicallyhurt?YesNoIfyesenter1________2.Didaparentorotheradultinthehouseholdoften…Push,grab,slap,orthrowsomethingatyou?orEverhityousohardthatyouhadmarksorwereinjured?YesNoIfyesenter1________3.Didanadultorpersonatleast5yearsolderthanyouever…Touchorfondleyouorhaveyou touch theirbody inasexualway?orTrytooractuallyhaveoral,anal,orvaginalsexwithyou?YesNoIfyesenter1________4.Didyouoftenfeelthat…Nooneinyour familylovedyouorthoughtyouwereimportantorspecial?
https://www.ncjfcj.org/sites/default/files/Finding%20Your%20ACE%20Score.pdf
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Protective Factors SurveyThistoolassessesfamilystrengths,ratherthanfocusingondeficits.Resultsoffersaframeworkoffiveresearch-basedProtectiveFactorsthatgiveparentswhattheyneedtoparenteffectively.Whentheseprotectivefactorsarerobustinfamilies,thelikelihoodofchildabuseandneglectisreduced.Thisapproachbenefitsallfamilies,notjustthoseexperiencingstress.
Thissurveyisconductedwithin90daysofenrollmentwiththeparentorguardian.ItisconductedduringthesamevisittheAdverseChildhoodExperience(ACEs)Survey isconducted.
https://www.friendsnrc.org/
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Adult Adolescent Parenting InventoryTheAAPI-2.1isaninventorydesigned toassesstheparentingandchildrearingattitudesofadolescentsandadultparentandpre-parentpopulations.Basedontheknownparentingandchildrearingbehaviorsofabusiveparents,responses totheinventoryprovideanindexofriskforpracticingbehaviorsknowntobeattributabletochildabuseandneglect.TheoriginalAAPIfirstdeveloped in1979.
UponenrollmentandattheendofParentingGroupSeries.
https://assessingparenting.com/assessment/aapi
•ConstructA - Expectationsof Children•ConstructB - ParentalEmpathy towardsChildren’s Needs•ConstructC - UseofCorporal Punishment•ConstructD - Parent-Child FamilyRoles•ConstructE - Children’s Power andIndependence
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Things to Consider• Is it evidence based?• Does it align with
services?• Is it Measurable?• Cost of implementing and
training• Training availability• Staff buy-in is important
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Rapport Building• Setclearexpectationsuponenrollment;includingletting
themknowwhichscreeningstoolswillbeused
• Reassuringparents/caregiversthat answersareconfidential
• Providingdescriptionofscreening(what), howitwillbe
administered(how), andtheuseoftheresults(why)
• Givingparentsaheads-upwhenthescreeningwillbe
completed(onevisitsprior).Askiftheyhaveanyquestions
regardingthetopicofthescreenings(tobepreparedwith
informationorresources)
• Answerany questions
• Beingpreparedtogiveresourcesbasedonscreeningresults
• Planforculturalorlanguageissues
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Group Activity
Lookingatthetoolinfrontofyou:• Review(2minutes)• Writedown atleastthreedifferentwaysyoucanmake
thistoolmoremeaningfulforfamilies(5minutes)• Reportout(5minutes)
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How to use screening results to drive service delivery
• Support parents/caregivers in setting goals
• Planning for topics to discuss at home visits
• Connecting them to resources, as needed
• Partnering with community service providers/agencies to address common needs in families
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How to use screening results to support staff
• During Reflective Supervision, asking and providing feedback on process of completing screening
• Providing further training or refreshers for staff to feel well-prepared to conduct each screening
• Ensure staff know the next step based on the screening results (Ex: Program Policies and Procedures, Matrix)
• Guiding staff to plan for Group Connections (socializations), trainings or workshops for parents/caregivers
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Discussing Results• Betimelywithdiscussing results.Thiscanbedoneduringthevisitoratthe
followingvisitdependingonthescreeningtool.Iftheresultscallforaconnectiontoaresource, oranemergencyisidentified,donotleavethehomeuntilresourceisgiven.
• Reviewthepurposeofscreening.Review questionnaire.
• Focusonstrengthsfirst.Pointoutacoupleitemswheretheydidgreat.
• Forareasofopportunity,pointoutacoupleitemsthattheyscoredlowin.Askfurtherquestions ifneededtounderstandwhytheyscoredlow."Canyoutellmemoreaboutthis?"
• Becarefulwiththewordingofresults.
• Discussfollow up actions.Havinginmindthefamilymakesthedecisionwhethertheywanttoseekfurtherservices.
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Discussing Results – cont.• Considerwherethefamilyisintheprocess• Parentsmayberelievedandreadyorupset,disagreeand notreadytoacceptresults
• Listen,readsubtlecues,andreflectback• Ifyoushareconcerns,bespecific• Reviewfactorstoconsider(e.g.health)• Support,guide,andinformparentsaboutresources• Youdonotneedtoconvinceparentstorefer• Supportparentsinreferralswhentheyareready• Giveparentstime
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Goal Setting• After discussing the results, guide parent/caregiver to
identify one area to focus on. Goals are family-driven.
• When setting goals, make sure the goal is attainable and measurable. You can help the parent/caregiver break down the goal into smaller steps and set timeline.
• Regular follow-up leads to better success rate (asking at each visit, documenting progress at least monthly)
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Goalsetbyparent:A)ThreetimesaweekIwillparticipateina pretendplayactivitywithSonia.
B)Everyday Iwilldescribeobjectsusingcolor,shape,sizeortextureduringbathtime.
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Group Activity
UsetheFamilyCenteredAssessmentandthescreeningprovidedtosettwogoalsfortheparent/caregiver.
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Measuring Outcomes
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Why• Tomeasureprogramsuccess
• Identifyareasofgrowthopportunity
• Measurestaffperformance
• Providedatatofunder
• Securingfunding
• Identifyfundingsources
• Maintainaccreditation
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Outputs and Outcomes
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Outputs•#ofhomevisits•#offamiliesserved•#offamiliesreceivinghearingscreenings•#offamiliesreceivingvisionscreenings•#ofdevelopmentalscreenings•#ofGroupConnections•#ofLSPscompleted•#ofFSPscompleted•#ofPICCOLOAdministeredpreandpost•#ofBrackenAssessmentspreandpost
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Outcomes•%ofchildrenwillmaintainor demonstrateprogresstowardsage-appropriatedevelopmental milestones.
•%ofparentswillshowincreased knowledgeaboutchilddevelopment
•%ofparentswillshowan improvementinparentingandchild interactions
•%ofchildrenbetweentheagesof 3-5yearsofagewilldemonstrate improvementoftheirexpressiveand receptivescores
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Staff Performance
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Staff Performance
• Settingbenchmarks• Measuringand
monitoringoutputs• Providingfeedbackand
support• Celebrating• WorkPlanssupported
bydata
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Setting Benchmarks• Alignedwithactivities/outputs
•80%ofcaseloadwillhaveLSPcompleted
everysixmonths.
•80% ofcaseloadwillhave DASSCompleted
everysixmonths.
• Reasonable
• Monitormonthly
• Reviewedwithstaffmonthly
• Measuredquarterly
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Contact Information
Contact information:Wendy Puga [email protected] (602) 396-9741Gisela Jimenez Vazquez [email protected] 480-739-7696
https://www.childfamilyresources.org/