Moving to De anna Morrison, DCYF In- Pe r son Jason Bragg, Soc - - PowerPoint PPT Presentation

Moving to In- Pe r son Visits dur ing COVID19: Dispe lling Myths, F e ar s and Assumptions

Rose We ntz, Visitation Consultant De anna Morrison, DCYF Jason Bragg, Soc ial Se rvic e

Worke r, Pare nt’s Re pre se ntation Program

Katie Biron, F

• ste r/ Adoptive Pare nt

F

• ste ring Conne c tions for F

amilie s

Shannon Quinn, DCYF

Soc ial Worke r

Supporte d by: Washington OPD,

Washington CIT A and Washington DCYF

We lc ome What we will c ove r

DCYF

I n-Pe rso n Visita tio n g uida nc e

Da ta o n the type s o f visits o c c urring Myths, fe a rs a nd a ssumptio ns: ho w the se

ma y b e info rming de c isio ns

I

mpa c t o f se pa ra tio n o n c hildre n a nd pa re nts

Ho w to disc uss the fe a rs a nd pla n a n in-

pe rso n visit

Ba la nc ing the ne e d fo r in-pe rso n visits

with c o nc e rns o f COVI D19

3

www.dcyf.wa.gov

The Transition

4

Returning t to In-Person Vi Visit itatio ion

• Based on consultation with the Department of Health (DOH), we are

confident that some children can safely return to in-person visits.

• As DCYF works to reinstate in-person visits, and in light of other

limitations during the COVID-19 pandemic, visits may still be provided through a combination of remote and in-person visits.

• Parents or their attorney will contact the assigned case worker to

manage this transition.

5

Hi High-Risk f for

• r Ser

erio ious H Hea ealt lth P Prob

• blems f

from

• m

CO COVID-19 19

• If anyone who will be exposed to the child (parent, child, caregiver that the

child is living with and/or others in the caregiver’s household) falls within the CDC’s high risk categories, DCYF case worker will request that remote visitation occur instead of in-person.

• While Proclamation 20-33 on in-person visits remains in place, if the case

worker changes the modality of the visit from in-person to remote the case worker will notify the parent. If a court has ordered the in-person visit to happen, the case worker will contact the Department’s counsel in that dependency case.

6

Screen eening P Proces ess

• In order to ensure the health and safety of children, families, parents

and caregivers, DOH has provided health guidance and protocols that need to be followed to make the visitation as safe as possible for all participants.

• DCYF has either contracted providers, foster parents, kinship provider

and case workers providing visitation services. Those providing visitation services shall ask prior to a visit CDC/DOH screening questions.

7

Screen eening Q Ques estions

Per the CDC and DOH Screening Guidelines, that cannot be attributed to another health condition:

• A cough
• Shortness of breath or difficulty breathing
• Two or more of the following symptoms

A fever or feels feverish A sore throat Chills or repeated shaking with chills New loss of taste or smell Muscle aches

• Have you or anyone in your household, within the last 14 days, had close contact

with someone currently sick with suspected or confirmed COVID-19

8

Screening Q Questions C Continued

If the responses to the screening questions are in the negative, those providing visitation services can move forward with the scheduled visit.

• If the responses of the parent are in the affirmative, those providing

visitation services shall:

• Offer to change the visit from in-person to remote. If the remote visit is not

an option;

• Cancel the visit and reschedule.
• The contracted providers and caregiver shall contact the case worker

immediately (within 1 business day) to let them know the change in modality and/or cancellation of the visitation.

9

Safety Protocols Du Duri ring ng Family Ti Time Vi Visit itatio ion

• Visit participants over the age of 2 years old will need to wear a mask or

cloth face covering that covers the mouth and nose. Children ages 3 to 6 this may be a challenge.

• Visit participants will be asked to wash hands for at least 20 seconds using

warm water and soap or use hand sanitizer when the visit begins (DOH recommends hand sanitizer to be 60 percent alcohol).

• Visitation is limited to the person(s) identified in the court’s order on visits.

If the case worker has approved others to participate in the visit, the parent may use their phone or video conference equipment to include any additional participants remotely.

• If the parent wishes to bring toys/items to the visit, the toy/item must be

sanitized and the toy/item should not go with the child back to their foster

• r caregiver home.

10

Safety Protocols Du Duri ring ng Family Ti Time Vi Visit itatio ion

• Those providing visitation services should practice social distancing

during visitation. Parents and child(ren) should practice social distancing during a visitation, but understand this may be a challenge.

• If there is blatant disregard by visit participants in following the health

and safety protocols then the in-person visit will be cancelled and remote visitation could be offered or a reschedule of the in person

• Providers and Caregiver are required to inform the case worker with

in one business day of any cancelation or changes which occur.

11

Governo rnor' r's P Proclamation

• How does the DCYF Interim Policy interact with the extension of the

Governor’s proclamation?

• The proclamation gives DCYF the flexibility to limit in-person visits

when they cannot be done safely. But it also allows in-person visits to be provided when they can be done safely, in adherence with the policy. In light of the fact that Washington is taking a phased, county-based approach to reopening, we want to support case-specific decisions to be made so in-person visits can happen when they can be safely provided.

12

Supp pply S Supp pport rt

How will everyone involved get access to PPE?

• Currently, all field offices have a limited supply of mask that can be provided to

the parents, caregivers, staff and caregivers.

• A large bulk order of adult and child cloth masks has been placed. Once received

they will be dispersed to the field offices for distribution for the parents, caregivers and providers.

What are the expectations of visit providers in wearing masks and social distancing?

• Guidance was provided for all providers to follow DOH safety protocols, social

distancing and utilize PPE supplies. This was the same guidance provided to parents, staff and caregivers.

13

Li Links t to Gu Guidance ce Docu cuments

Parent: https://www.dcyf.wa.gov/sites/default/files/pubs/CWP_0057.pdf Foster Parents and Caregivers: https://www.dcyf.wa.gov/sites/default/files/pubs/CWP_0058.pdf Provider: https://www.dcyf.wa.gov/sites/default/files/pubs/CWP_0056.pdf

14

Thank you!

Contact: Deanna Morrison Deanna.Morrison@dcyf.wa.gov

Poll

 On wha t pe rc e nta g e o f yo ur c a se s ha ve yo u o r yo ur sta ff ma de e ffo rts to

ha ve In- pe r

son visits o c c ur (whe the r o r no t it e nde d up a c tua lly

• c c urring )?

 No ne  0-10%  11-25%  26-50%  51-75%  76-100%

 Re pe a t this q ue stio n fo r the fo llo wing type s o f visits.

Zo o m, skype o r o the r live vid e o inte ra c tio n visits Pho ne c a lls o r o nline c ha ts No live inte ra c tio ns

DCYF Visita tion Da ta

https:/ / www.dc yf.wa .g o v/ site s/ de fa ult/ file s/ pd f/ Co ntra c te dF a milyT ime Visita tio n.pdf

Re g io n 1Visita tio n da ta

100 200 300 400 500 600 03/ 29/ 2020 04/ 05/ 2020 04/ 12/ 2020 04/ 19/ 2020 04/ 26/ 2020 05/ 03/ 2020 05/ 10/ 2020 05/ 17/ 2020 05/ 24/ 202 Misse d-no -sho w No Visit Re c o rde d Re g ular Virtual

Re g io n 2 Visita tio n Da ta

50 100 150 200 250 03/ 29/ 2020 04/ 05/ 2020 04/ 12/ 2020 04/ 19/ 2020 04/ 26/ 2020 05/ 03/ 2020 05/ 10/ 2020 05/ 17/ 2020 05/ 24/ 202 Misse d-no -sho w No Visit Re c o rde d Re g ular Virtual

F a mily T ime Da ta – April

2% 10% 19% 69%

Apr il 26,2020 Re g ion 1

Misse d-no -sho w No Visit Re c o rde d I n pe rso n Virtual (vide o a nd te le pho nic )

0% 25% 12% 63%

Apr il 26, 2020 Re g ion 2

Misse d-no -sho w No Visit Re c o rde d I n pe rso n Virtual (vide o a nd te le pho nic )

Par e nts, c ar e give r s and soc ial wor ke r s: T he ir pe r c e ptions of In- pe r son visits

Ja so n Bra g g - So c ia l Se rvic e Wo rke r, Pa re nt’ s

Re pre se nta tio n Pro g ra m

K

a tie Biro n - F

• ste r/ Ado ptive Pa re nt F
• ste ring

Co nne c tio ns fo r F a milie s

Sha nno n Quinn - DCYF

So c ia l Wo rke r

Poll

 Wha t a re the b a rrie rs to suc c e ssful in-pe rso n visits

(multiple c ho ic e , c he c k o ne s tha t yo u ha ve e xpe rie nc e d )?

 Ca re g ive r re sista nc e  Pa re nt re sista nc e  Child re sista nc e  Pro vide r re sista nc e  T

ra nspo rta tio n fo r c hildre n

 T

ra nspo rta tio n fo r pa re nts

 L

a c k o f PPE fo r e ve ryo ne

 L

a c k o f o the r re so urc e s ne e de d to c o nduc t the visit: write issue in Que stio n b o x

T r auma c ause d by se par ation, gr ie f and loss

 A tra uma tic e ve nt is a frig hte ning , da ng e ro us, o r vio le nt e ve nt

tha t po se s a thre a t to a c hild’ s life o r b o dily inte g rity. Witne ssing a tra uma tic e ve nt tha t thre a te ns life o r physic a l se c urity o f a lo ve d o ne c a n a lso b e tra uma tic . T his is pa rtic ula rly impo rta nt fo r yo ung c hildre n a s the ir se nse o f sa fe ty de pe nds o n the pe rc e ive d sa fe ty o f the ir a tta c hme nt fig ure s.*

 T

ra uma fo r c hild we lfa re fa milie s:

 Ma ltre a tme nt a nd fa mily vio le nc e  Child re mo ve d fro m fa mily  Se pa ra tio n o f pa re nts, sib ling s, fa mily, fa mily suppo rt syste m  L

• ss o f c o mmunity a nd my ide ntity: sc ho o l, frie nds, re lig io n

c ulture , ro utine s, fo o d, fina nc ia l impa c ts

*Na tiona l Child T r a uma tic Str e ss ne twor k

COVID19 – Ne w tr auma

 In-pe rso n visits with pa re nts, sib ling s a nd o the r lo ve d o ne s

sto ppe d fo r lo ng pe rio d o f time

 L

• ss o f sc ho o l (te a c he rs, e duc a tio n pro g re ss, inte ra c tio n with

pe e rs)

 L

• ss o f c o nta c t with frie nds

 Cha ng e in ro utine s  Co nfine d to ho me  Pla c e me nt disruptio ns due to COVID19 impa c ts o n c a re g ive rs  L

a c k o f physic a l a c tivity

 Adults e xpe rie nc ing stre ss – le ss a b le to he lp c hild re g ula te  F

e a r (re a lity) pe o ple impo rta nt to me ma y b e c o me sic k o r die

 Pro te sts in so c ie ty – ho w pa re nts/ c a re g ive rs ha ndle this a nd

wha t it me a ns to my ide ntity a nd sa fe ty

Initial COVID19 - Visitation De c isions

In- Pe rson Visits

 T

ra uma o f no visits

 L

e g a l Rig hts

Virtua l Visits

 Numb e r o f COVI19 c a se s

g ro wing fa st

 Unkno wns  F

e a rs

 E

xpe c ting this wo uld no t la st to o lo ng

Cur r e nt COVID19 - Visitation De c isions

In- Pe rson Visits

 Mo nths w/ o in-pe rso n

visits

 L

e g a l Rig hts

 Inc re a sing tra uma  F

e we r COVID19 c a se s

 Mo re is kno wn a b o ut

ho w to ke e p sa fe

Virtua l Visits

 No va c c ine  F

e a rs

 Re a lity

Conse que nc e s of COVID19*

 T

r a nsg e ne r a tiona l impa c ts will o c c ur b e c a use o f the COVID19

c risis. T he impa c ts will no t sto p whe n a me dic a l so lutio n is fo und.

 T

he so c ia l a nd e mo tio na l to lls will b e hig h – e spe c ia lly the fa milie s who we re mo st vulne ra b le b e fo re COVID19

 Pe o ple will b e e xpe rie nc ing mo re hype ra ro usa l a nd

dysre g ula tio n

 Hype ra ro usa l Co ntinuum

 Yo ur se nse o f time c ha ng e s: ha rd to think a b o ut the future inste a d

fo c us o n minute s, se c o nds o r no t ha ving a ny se nse o f time . Re g re ssio n to mo re c hild/ infa nt se nse o f time a nd a b ility to ma ke de c isio ns.

 Be ha vio rs: vig ila nc e , re sista nc e , de fia nc e , a g g re ssio n  Re a c tio ns to de c isio ns: Avo ida nc e , c o mplia nc e , disso c ia tio n,

fa inting

 F

re e ze , F lig ht, F ig ht

* Dr Bruc e Pe rry “NN COVID se rie s”

Solutions

E

ve ryo ne is e xpe rie nc ing the tra uma a nd the impa c ts o f COI VD19

Sha ring so lutio ns a nd stra te g ie s

Vide o Use q ue stio n b o x to sha re yo ur so lutio ns Sha nno n’ s e ma il

How to he lp r e duc e tr auma impac ts

 Cre a te o r suppo rt the fa milia r a nd sa fe e nviro nme nt  Minimize thre a ts a nd stre sse s  Mo d e l c a lmne ss will he lp to re g ula te a d ysre g ula te d ,

a nxio us c hild

 Be pro a c tive a ntic ipa te le ss e ffe c tive ne ss  He lp pa re nts/ c a re g ive rs le a rn to mo d e l c a lmne ss with the

c hild

 Be g e ntle with yo urse lf a nd o the rs  L

e a d e rs pro vid e g o o d re c o mme nd a tio ns a nd d e c isio ns tha t a re future fo c use d

 F

le xib ility, nurturing , b uild o n stre ng ths a nd re so urc e s

Planning an In- Pe r son Visit

Pla n with a ll the pa rtie s:

Birth pa re nts, c a re g ive rs, a tto rne ys, o ld e r

c hild re n

Se tting e xpe c ta tio ns, b o unda rie s Re a c tio ns b e fo re , during o r a fte r visits

is the NORM.

Pre pa re , Minimize Addre ss

Pla n a c tivitie s

De monstr ation – E ngaging a Car e give r in Visit Planning

 Dia lo g ue b e twe e n a c a re g ive r a nd so c ia l wo rke r a b o ut

a n in-pe rso n visit,

 Ja c o b is a c a re g ive r fo r two c hild re n who a re no t

re la te d .

 Ro se is the so c ia l wo rke r fo r E

mme tt a 7-ye a r-o ld b o y who ha s b e e n in this ho me fo r 8 mo nths. T he la st two mo nths the re ha s b e e n we e kly virtua l visits o n zo o m with E mme tt’ s pa re nts. Be fo re he wa s ha ving 2 in-pe rso n visits e a c h we e k.

What is he lpful to fur the r the dialogue

• n in- pe r

son visits

 Wha t did yo u

• b se rve tha t wa s

he lpful?

 Wha t o the r

me tho ds, q ue stio ns

• r re so urc e s mig ht

yo u use to a ddre ss the issue s o r c o nc e rns?

E ngage me nt str ate gie s

 Yo ur re la tio nship with the pe rso n – will impa c t the dia lo g ue  He lp the pe rso n fe e l sa fe - g ive the m c o ntro l o f so me thing , g ive

the m wins, g ive the m po we r

 Unde rsta nd a nd Affirm the ir wo rld vie w  Ask the m fo r ide a s o r so lutio ns  De ve lo p a c o mmo n g o a l  Co rre c t misinfo rma tio n a s so o n a s po ssib le  Avo id re pe a ting misinfo rma tio n  Pro vide ne w info rma tio n in sma ll c hunks a nd fro m so urc e s the y

trust

 Re pe a t info rma tio n

T he c ha lle ng e is doing this whe n it is not possible to ha ve in- pe r son dia log ue .

T r auma r e sour c e s

 Dr. Bruc e Pe rry – Se rie s o f vid e o s o n stre ss, re lia nc e a nd

ho w to he lp o urse lve s a nd o the rs d uring this time . https:/ / www.ne uro se q ue ntia l.c o m/ c o vid -19-re so urc e s

 T

he Pa nd e mic T

• o lkit Pa re nts Ne e d

https:/ / www.psyc ho lo g yto d a y.c o m/ us/ b lo g / pulling - thro ug h/ 202004/ the -pa nd e mic -to o lkit-p a re nts-ne e d ? e m

 Na tio na l Child T

ra uma tic Stre ss ne two rk https:/ / www.nc tsn.o rg /

What Do You Ne e d?

Ple a se le t us know in Que stion Box wha t you ne e d. Support, tra ining , g uida nc e , e tc .

Plan for the futur e … T he F utur e in NOW

We have to stand o n g uard and pre pare fo r the afte rmath

• f o ur c urre nt c risis. One , two ,

thre e o r e ve n 12 mo nths fro m no w, we will c o ntinue to de al with the re sults o f the virus and the manne r in whic h it has affe c te d o ur syste m. Sho uld re stric tio ns o n family time and se rvic e s c o ntinue , a sig nific ant amo unt o f time may pass b e fo re pare nts and c hildre n are pro pe rly se rve d. Je rry Milne r – Childre n’ s Bure a u

F amily T ime in COVID- 19 Re sour c e s

Po lic ie s, ha ndo uts, vide o s, a nd the links to re c o rding s o f this a nd pre vio us we b ina rs c a n b e fo und o n the CI T A we b site a t: https:/ / www.wa c ita .o rg / c a te g o ry/ lib ra ry/

Re so urc e s inc lud e :

 T

he Ne e d fo r In-pe rso n Pa re nting T ime During

• COVID19. Whe n pro te c ting a c hild fro m

COVID19 c a use s sig nific a nt ha rm a nd tra uma .

 In-Pe rso n Visit Pla nning  DCYF

F a mily T ime d a ta d uring COVID-19

 Sha nno n’ s e ma il to b e g in the d ia lo g ue

CL E

• r

CJE c r e dits

If yo u wo uld like CL E

• r CJE

Cre dits fo r a tte nding this

L IVEwe b ina r:

 By July 2, 2020, se nd a n e ma il to Susa n Pe te rso n a t

susa n.pe te rso n@ c o urts.wa .g o v with the fo llo wing info rma tio n:

Na me & Da te o f the We b ina r (Moving to In-

Pe r son Visits dur ing COVID19: Dispe lling Myths, F e a r s a nd Assumptions, June 8, 2020)

Yo ur na me Yo ur WSBA# Yo ur c o urt na me (fo r judic ia l o ffic e rs)

If yo u wa nt CL E c re dit fo r the R

E COR DE D we b ina r, g o

to yo ur MyWSBA a c c o unt a nd se a rc h MCL E se c tio n fo r the re c o rde d a c tivity with this we b ina r title (it sho uld b e a va ila b le b y June 23rd)