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Welcome. Presenter: Joanne Ward Co-Presenter: Deborah Miller Families On The Move Of New York City, Inc. Creating a Welcoming Experience for Families in Children’s Residential Care. Introduction : How can I help families help their children?.
WelcomePresenter: Joanne WardCo-Presenter: Deborah MillerFamilies On The Move Of New York City, Inc.Creating a Welcoming Experience for Families in Children’s Residential CareIntroduction: How can I help families help their children?Goal: To include families in all aspects of carefor their child in a culturally competent, non-stigmatizing way, recognizing and valuing theirstrengths in order to produce the bestspossible outcomes for their child and family. Overview:Overcoming Barriers to Family InclusionA barrier is anything that doesn’t include family Attitudes and beliefsCultural InsensitivityLack of ResourcesLack of CommunicationWhy The Mental Health System can feel unwelcoming to familiesDifficulty getting servicesMixed messages from different agenciesNot listened to by agency staffThreats of loss of custody of their childrenBeing blamed for their children’s difficultiesProblems due to a lack of servicesPortland University Research and Training Center on Family Support and Children’s Mental HealthChallenges faced by familiesWhat makes families feel welcome?Guilt free, shame free environmentCaring attitudeConcern for successful outcomes displayed and modeledRespect, for family values and beliefsIs Our House WelcomingAppearance/AtmosphereAcknowledge needs of youth/families/selfGreeting, body languageYouth/Family voice acceptedYouth/Family InclusionRecognizing Family StrengthsAsk family/youth Open discussion with family/childActive listeningAcknowledge family strengthsBuilding on FamilyStrengths duringResidential CareWelcoming Families to the Program: Visits and Program ParticipationFamily Involvement is:
  • A Set Of Beliefs And An Approach
  • A Type Of Grassroots, Community-Based Program
  • A Shift in Human Services Delivery
  • A Movement For Social Change
  • Family Participation vs. Program Constraints* The Research in Residential Treatment consistently show that the processes and outcomes of care improve in correlation with the degree of family involvement.Helping to Strengthen Families and Family BondsStrong connections with caring family members reassure and stabilize youth, not increased restrictiveness as some may be led to believe as needing “more structure.”Advocating with the family in the multi-system arrayHow can we teach our family members to “effectively” advocate for themselves?As Providers you are also advocates. As Advocates you have the power to influence for change and the betterment of youth and family members. Including “new” family members in the processWays to include family members in the process:
  • Interview/Intake/admission
  • Treatment planning
  • In Home/Stay
  • Discharge planning
  • Empowering Families in Service Planning and ReviewA belief in the vision and preferences of youth and family members, should guide decisions, treatment, service planning and review. Building a trusting dialogue between program and familyA trusting dialogue includes:
  • Honesty/respect
  • Commitment and passion
  • Youth centered/family focused
  • Flexible services
  • Dependable/reliable services
  • Choice
  • Creating a multi-system partnership that empowers familiesYouth and Families must be accepted as “equal” partners with a purpose not provider/client with a prescription. Creating a multi-system partnership begins with providers willingness to accept such a concept.The Advocates Role in Service PlanningThe advocate’s role is to assist people to become self-directed individuals. They are to provide support, assist with coordinating services and resources. Supporting Families in Home VisitsWorking with Families Toward a Successful DischargeDischarge Planning A “Discharge Plan” is a development of resources, support and treatment needs for the youth and his/her family prior to leaving the hospital, or residential treatment facility. The discharge plan also describes how the resources, support and treatment needs identified will be obtained and utilized to maintain and advance the youth’s well being in the least restrictive environment. Family Empowerment leads to family readinessProvide information and resources:* Housing* SSI eligibility* Mental Health services* SupportsFamily Participation strengthens youth readinessDischarge planning for Youth at a minimum should include:A statement of the youth’s needs for:Supervision, Medication, Aftercare services etc.Provide assistance with reentry to appropriate schoolHousing OptionsFamilies must be informed and endorse the multi-system planYouth/family accountability and responsibility measures should be addressed throughout treatment utilizing positive, consistent strategies and incentives. Planning for Discharge with Families During Service Planning and ReviewAcknowledge the challenges to families:
  • Stigma in communities (fear of rejection)
  • Lack of family, community supports
  • Fear of relapse
  • Unrealistic expectations
  • Housing
  • Finances
  • Partnering with the family to create and re-evaluate the planA partnership is a “collaborative” team who work together to achieve a common goal.
  • How can we help youth and family members
  • achieve this common goal?Providing needed family supports early onFamily/Youth support considerations:
  • Access to supports
  • Transportation
  • Culturally/linguistically competent
  • Availability of supports
  • Supporting Families Post-DischargeProvide ongoing program supports and inclusion:
  • Mentoring
  • Group facilitators
  • Participants at conferences/meetings
  • Paid staff
  • Family advocates
  • Learning from Family FeedbackBenefits:
  • Staff/Family Accountability
  • Identifies needs and wants of staff/youth/family/community
  • Improve policy development and practice
  • Access to funds
  • Improve/Add Services
  • Responding to youth and family feedback encourages cooperation, establishes trust and builds relationships needed to facilitate consistency and support progress for youth/family/staffResponding to and incorporatefamily feedbackResearch has clearly shown that there are benefits for youth and family memberswhen there is involvement SynergyThe sum is greater than its parts!Contact information:Families On The Move of New York City, Inc.358 St. Marks Place, Suite 203, Staten Island, NY 10301Telephone: 347. 682.4870 / Fax 718.447.6539 Executive Director: Euphemia S. Adams, FDC, MSWTraining Coordinator: Jacqueline Sykes
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