practical model for working with families in the human services, - - PowerPoint PPT Presentation

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practical model for working with families in the human services, - - PowerPoint PPT Presentation

A family intervention model based on: Trotter C (2013) Collaborative Family Work a practical model for working with families in the human services, Allen and Unwin, Sydney Project funded by Australian Research Council Linkage


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 A family intervention model based on:  Trotter C (2013) Collaborative Family Work – a

practical model for working with families in the human services, Allen and Unwin, Sydney

 Project funded by Australian Research Council

Linkage Grant and NSW Juvenile Justice and Monash University

Professor Chris Trotter, Director Monash University Criminal Justice Research Consortium

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 Family are one of the most important factors in

young offending

 The YLSI analysis of risk factors places it alongside

prior offences, substance abuse, peer relations, education and employment, and personality type as major determinants of re-offending

 Family issues most commonly identified

criminogenic need (Bonta et al 2008) - more often than drug use for example.

 Most frequently discussed in supervision

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 Analysis of case management files found that:  recidivism was significantly lower when POs

(1) engaged with clients and (2) managed family problems

 Young people were twice as likely to offend if

family problems were not addressed

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 Family interventions for young offenders -

average reduction in recidivism 20% and 52%. (Meta-analysis by Lipsey and Cullen 2007)

 Dowden & Andrews (2003) meta-analysis of

the effectiveness of 38 family interventions - effective, if based on effective practice principles;

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 1.

Clear structure

 2.

Easily learnt

 3.

It is a partnership model

 5.

Several positive evaluations – Dandenong CC, Dept

  • f Police and Emergency Services, Vic Youth

Justice (Trotter 2010).

 6.

Based in family home

 7.

Continuity with supervision and informs supervision

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 Based on earlier work by William Reid, Gerald

Patterson, Epstein and Bishop and Alexander and Parsons

 Adds a pro-social dimension and more recent

principles of effective practice with offenders to those models

 Consistent with what works principles (e.g.

Trotter 2005, Andrews and Bonta 2010)

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  • 1. Role and Ground Rules
  • 2. Identify Issues
  • 3. Decide what to work on first
  • 4. Goals
  • 5. Explore the issue
  • 6. Strategies

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 This project examines the effect of

collaborative family work on juvenile

  • ffenders, focussing on both family

relationships and recidivism.

 Act Now Together Now Strong (ANTS)

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 45 undertook ANTS  15.26 average age  36% previous custody.  21/44 (48%) identified as indigenous (in one

case this was unclear).

 21.7 YLS/CMI medium to high risk  offences – e.g. break and enter, robbery,

assault, car theft, contravening Apprehended Violence Order, and malicious damage.

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 5.1 Average number of participants  2 workers  3.1 family members.

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 200 plus ANTS sessions over 5

years

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 41 primary clients,  34 mothers,  12 fathers,  12 brothers,  7 grandmothers,  6 sisters,  3 step mothers,  2 family friends  1 stepfather.

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 42 juvenile justice officers,  8 juvenile justice counsellors,  18 case managers from Mission

Australia

 2 workers from justice health,  20% of the workers identified as

indigenous.

 61% of the workers were female and

39% male.

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 1. Pretty bad: We fight a lot and don’t speak

to each other

 2. Not Good: Sometimes we talk to each other

nicely, but not often

 3.

  • 3. OK: We get through our issues but it could

be better

 4. Good: Basically things are ok, we talk

things out most of the time

 5. Really Good – no fights and we all get on

well

 

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Table 1 Family Functioning Evaluations Family meeting 1 Family meeting 3 Family meeting 5 N 91 94 67 Mean 2.7418 3.3144 3.7500

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Family meeting 2 Family meeting 3 Family meeting 4 Family meeting 5 N 30 52 46 52 Mean 2.2000 2.5769 2.7674 3.5827

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 Very unhelpful

1 1.6%

 Unhelpful

0.0%

 Neither helped nor harmed 1

1.6%

 Helpful

25 39.7%

 Very helpful

36 57.1% (n = 62, 27 families)

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 Much worse

0.0%

 Worse

0.0%

 About the same

5 8.2%

 Better

21 34.4%

 Much Better

35 57.4% (n=61)

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 Much worse

0.0%

 Worse

0.0%

 About the same

4 10.8%

 Better

21 56.8%

 Much Better

12 32.4%

 (n=37)

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 Very unhelpful

0.0%

 Unhelpful

1 1.6%

 Neither

5 7.9%

 Helpful

23 36.5%

 Very helpful

34 54.0%

 (n = 63)

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 Worse

0 0.0%

 About the same

5 11.7%

 A little better

7 8.4%

 Much Better 46

76.7%

 No longer present

2 3.3% (n=60)

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 5/31 completed

16%

 6/14 drop out

43%

 17/46 declined

37%

 10/40 not offered

25%

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Completed Count 11 20 % within Final status 35.5% 64.5% Started but not completed Count 2 12 % within Final status 14.3% 85.7% Offered and declined Count 11 35 % within Final status 23.9% 76.1% Not offered Count 12 28 % within Final status 30.0% 70.0%

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 Completed

14 mths

 Started, not completed

7 mths

 Declined

8 mths

 Not offered

10 mths

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Completion by Age 11-13 2/4 50% 14 4/9 44% 15 8/14 57% 16 8/9 89% 17 8/8 100% 18 1/1 100%

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 Completed

2/17 12%

 Started

0/1 0%

 Declined

7/17 29%

 Not offered

7/13 35%

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Started ANTS 0/7 (0%) Not given ANTS 11/26 (42%) Sig .009

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 Completed

20.2800 25 8.45340

 Started but not completed 21.1000

10 7.62234

 Offered and declined

25.5366 41 6.12004

 Not offered

21.6250 32 9.01880

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 1.00

23.8039 51 7.87660

 2.00

21.5000 56 7.72952

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 The ANTS program was extremely helpful for our

  • family. We have not had any other program as

good”

 Thank you T and M. A very worthwhile program to

participate in. You have given us renewed strength to keep on going. You have helped our family

  • regroup. The ANTS program has given us hope that
  • ur family will survive despite the current trials and

that there are people willing to help. T and M were a great team and really made each member of our family feel a part of the group discussion” – A Mother

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Really great; the family needed it.. I was at a stage to give up and had lost the energy to continue. We had tried lots of helplines and gotten no help so I was keen to give ANTS a go. - Having the facilitators there to talk about how the persons offending effected everyone

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I enjoyed everyone talking without the confrontation that went on before - all conversations were argumentative…I feel everyone steps back and thinks about it". The controlled environment of ANTS gave the family an opportunity to express their thoughts and also gave me the chance to listen to the children and see how responsible they are in how they approach things.

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After the first meeting me and my older son looked at each other and commented that we didn’t think ANTS would be any good but by the third week I was right into

  • it. It gave me an avenue to be able to

speak... everyone was able to speak without being interrupted. In the past when we tried to speak my son would become stressed and angry and walk away.

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I was worried at first as the family has done so many family interventions in the past. By the second week of the program I could see the difference in the behaviour of the children. They are still using things they learned.

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It was good but too long a break…it stuffed everything up. This disrupted the flow and ANTS could have helped to work through issues which arose during this time.

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At the beginning of the ANTS program K wouldn’t listen. The family had communication issues and the goal was to improve their communication. Father is the patriarch and he dominated the family. Mother was timid & wouldn’t speak up. At the conclusion of the ANTS program the mother was speaking up, the father was communicating and not dictating which not only surprised us but made the siblings happy. They developed into a strong family unit.

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I felt that this was an extraordinary /

  • utstanding ANTS service for this family.

A lot of families are similar where communication is yelling or screaming - they had been turned away again and again from services. No one listens to me. Negotiation between family members and

  • pening up the ability to communicate is

very helpful.

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When we introduced the strengths cards it was a turning point for the family as for the first time they had heard each other say positive things about the other.

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The mother liked the fact that we went to their home to do ANTS as previously they had counselling away from the home and it was not the same

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The visual tools of placing the ANTS

  • n the chart was useful as the family

could see where they were and where they had come from and that things were improving. Reinforcing was also useful.

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There are inherent benefits from working on 1 or 2 achievable goals that flow on to other areas of life that appear unrelated. For this family, the house is now a home. M who is the anchor of the family, has found an inner strength to deal with A’s behaviour – which is still challenging at times – without resorting to the yelling battles that happened previously.

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We learnt very quickly that this wasn’t going to work as we wouldn’t be able to do the ANTS model structure. The panel meeting was very helpful as we pulled the pin before we did any damage. It was the right decision to withdraw. We made referrals to family support. The mother was into blaming & bagging out the father and she couldn’t see the interests of the kids.

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A number of significant family issues and traumas presented during the program that were beyond the scope of both the program and the presenters’ skills/qualifications, that have been referred for ongoing follow up/support. It is hard when the parents want assistance and support and the young person does not want to engage. It can be a disadvantage doing the sessions in the home because of the distractions as it is not a contained environment.

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These are very complex families- any progress of meeting the issues is a big

  • bonus. The debriefs are an essential part of
  • it. I struggled at first, how we were going

to do this. It worked well and we could do it.

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 Research indicates that work with families lowers

recidivism

 Ground breaking work in NSW JJ shows that YJOs

can successfully do Collaborative Family Problem Solving with complex medium and high risk young people and their families

 Nearly all families report that it is helpful or very

helpful

 Nearly all workers report that it is helpful or very

helpful

 Initial recidivism data suggests it may have great

benefit for indigenous families

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