Domestic Violence Intervention Treatment in the State of Washington - - PowerPoint PPT Presentation
Domestic Violence Intervention Treatment in the State of Washington An Overview of Changes in the Standards WAC 38860A Amie Roberts, LMHC, CPM Childrens Administration Domestic Violence Intervention Treatment Program Manager 1
Amie Roberts, LMHC, CPM Children’s Administration
Domestic Violence Intervention Treatment Program Manager 1
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WAC = Washington Administrative Code IPV = Intimate Partner Violence
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DVIT = Domestic Violence Intervention Treatment Tx = Treatment Bx = Behavior Hx = History MH = Mental Health TBI = Traumatic Brain Injury
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1 1 1 1 1 1 1 1 1 4 4 7 15 18 2 5 4 4 2 3 5 3 3 https://www.dshs.wa.gov/ca/domestic‐violence/certification‐process
WAC Section Standards 388‐60A‐00 Administrative
(Definitions, purpose, advisory committee, program records and department records)
388‐60A‐0100 Certification and Application Requirements
(Certification requirements, application process, documentation for certification and recertification, policies and procedures, facility requirements and quality management)
388‐60A‐0200 Direct Treatment Staff Requirements
(Personnel records, minimum staff requirements, staff disclosures, trainee, staff, and supervisor requirements, supervisor responsibilities, continuing education and adding direct treatment staff)
388‐60A‐0300 Program and Participant Standards
(Referral screening, non‐discrimination, treatment focus, group treatment, treatment practices, participant requirements, co‐occurring treatment, participant rights and confidentiality, releases of information and participant contracts)
388‐60A‐0400 Treatment Requirements
(Behavioral assessment and interview criteria, treatment planning, placement criteria, required cognitive and behavioral changes, minimum treatment periods and requirements, re‐offenses and non‐compliance, completion criteria, core competencies and discharging participants)
388‐60A‐0500 Department Reviews and Actions
(On‐site reviews and plans of correction, complaint investigations and program or staff status changes)
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Statewide Perceptions Before the WAC Change
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Increase accountability and competency ‐ a pathway to achieve the following:
responsivity for perpetrators of IPV;
for achieving core competencies, including:
Purpose of WAC 388‐60A
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Treatment: One Size Does NOT Fit All
POWER CULTURE
Entitled
L e a r n e d
TYPOLOGIES: Battering, Intimate terrorism, Coercive controlling, Situational, Mutual
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The assessment, third party and collateral contacts will help us answer:
How deeply engrained are current thought and behavior patterns? Motivations for change: What can we work with? Is there cognitive dissonance? Levels 1‐3 the core material stays the same – Individualization and how long will it take to establish new patterns and break the abusive pattern? … Levels of care. High risk (critical factors) and criminogenic needs must be included in the treatment plan and addressed in group or individual sessions.
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(Placement Criteria for weekly treatment)
No DVIT
Services Referral
Level 1 Low Risk
and lethality
inter‐ vention
Level 2 Med Risk
Pattern
no Crim. Needs
Level 3 High Risk
Factor
social Traits
Needs
Level 4 High Risk
High Level of Psycho‐ pathy
6 Month Min. 9 Month Min. 12 Month Min. 18 Month Min.
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Gather Information
Interview Behavioral assessment Probation Background checks 911 tapes CPS information Guardian Ad Litem Victim Cognitive & behavioral indicators Family members Other treatment Police or incident report Testing
General responsivity Specific responsivity Individualized goals Individualized interventions
Level of Treatment Asses
Risk Lethality Needs Motivations Strengths Degree of patterns
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Substance Use (S) Mental Health (S/A) Belief System (A) TBI (S) Environ‐ment (A) Testing (A/S) High Risk Factors (A)
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Assessment vs. Screening
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Behavioral Assessment & Interview
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Behavioral Assessment & Interview
Summary
Social & legal history Degree of cognitive & behavioral patterns Behaviors to target in treatment Level of accountability Motivations & readiness to change Results of testing Level of treatment, rationale & referrals
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Initial Call At Assessment And Within 14 Days Of Enrollment Who you are and the purpose of the assessment Inform them of victim service programs in their area Participant is accepted into or rejected from program Primary objective of DVIT: To help increase safety of the victim and children & hold participant accountable Core competencies and minimum treatment completion criteria They (victims) are not expected to participate Limitations of treatment Program’s mandated reporting and duty to warn “Is there anything you would like us to know?”
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Update When There Are: Significant changes Factors with victim safety A change in risks, needs, goals or objectives Moving to a different level of Tx
Measurable Behavior Changes
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From ‘Topics’ to Cognitive and Behavioral Changes
This is a major change to our treatment approach and delivery style Unique Forensic Counseling Skillset
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Cognitive and Behavioral Changes & Documentation
The goal is to affect cognitive and behavioral change, which must be shared by the participant in group and documented in the participant’s individual record.
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Cognitive & Behavioral Changes
(Levels 1‐3)
Forms of Abuse Belief Systems Respectful Relationships Impact on Children Financial & Legal Obligations Cultural & Family Dynamics Accountability Empathy Defense Mechanisms Healthy Support System Indicators / Red Flags Cognitive Distortions Motivations for Abuse Autobiographical Relationship History
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MOTIVATIONS FOR ABUSIVE BEHAVIORS
A Sense Of Entitlement A Belief That I Should Have The Power & Control Over My Partner & Children Learned Experience – Abuse Gets Me What I Want The Need To Be Right Or Win At All Costs Insecurity And Fear
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WAC is the minimum standard. The provider will add topics, discussions, lessons, exercises or assignments that meet the individual treatment needs of the participant.
Areas of Focus NOT Found in WAC 388‐60A
S t a c k i n g
S c a n n i n g
Completion Criteria
For levels 1‐3
Contract Requirements Goals and Objectives in Treatment Plan (Bx Changes) Minimum Treatment Period Required Co‐
Treatments or Classes Required Assignments, Exercises, and Cognitive / Behavioral Changes
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Core Competencies
For levels 1‐3
Accountability
Accountability Plan
Documented
and No Violence
(min. Six months)
Documented
Primary Motivations for Abuse & Alt Ways to Meet Needs
Documented
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Exceptions for participants to attend via live video need to be requested by the program on the participant’s behalf.
video attendance program Level 4 treatment groups must be kept
tailored to the participant’s needs and program’s abilities.
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For Participants
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qualitative questions
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1.
Cognit itiv ive-behaviora
Approaches ches
Inter tervie iewing wing Or Or S Similar lar Clie ient-cente tered A d Appr pproaches ches 3.
auma-infor
med B d Behaviora
Inter terventions
Streng ngth-b th-based Str Strategies 5.
sitive Beh Behaviora
Reinfor inforcement S t Stra rateg tegies es How T w The e Program m Prov
ides:
Evide idence- ce-base based o
ising P g Pract actices ces
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How The Program Provides:
committee
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Every 3 Months
Every 6 Months
with WAC 388‐60A (assessments, groups and client records) Annually
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What We Covered Today…
treatment placement
before starting treatment
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AMIE.ROBERTS@DSHS.WA.GOV