FromDifficultConversationstoDifferentConversations:TheSafety
inPartnershipApproachJenniferMcKinneyNatashaDuddy
SignsofSafetyGathering2016
Summaryofpresentation• AviewofthesafetyinpartnershipapproachinIreland
• CaseexamplefromtheWesternHealth&SocialCareTrust– theprocess.
• Linkstoevaluationoftheapproach.
Irelandfromspace
FourProvincesWesternHealth&SocialCareTrust
IrishMythology- TheFifthprovince• Hederman&Kearney(1977-1985)- Irishphilosophers- aprovinceofimagination.
• Aforumwherepeopleofdifferencemightpeacefullyco-exist,interactandco-create.
• Aforumforviewingoneselfandoneanotherdifferently- ‘inter-viewing’(McCarthy,2010)
• Aplacewhereanythingispossible!!
DifficultconversationswithfamiliesReachingAcrosstheDivide
HandsacrosstheDivideDerry,N.Ireland
ThepeaceBridgeDerry,N.Ireland- Bridgingthedivide
UsingSafetyinPartnershipasaCompass
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CaseExample“I’mrightandyou’rewrong”
• Judicialreview• Childwithlifelimitingcondition• Differentpositionsoffamilyandprofessionalsaboutwhatisrightforthechild
• Difficultrelationships• Engagement- Anongoingrelationalprocessofsocialwork
• Takingasystemicview
Beforemeeting• Differentpossibilities
- Icanjustaccepttheprofessionalstoriesaboutthisdifficultwomanwhowon’tlistentotheexperts.Howmightthispositionme?MaybeIwillaskmumquestionstoprovetheirpoint?MaybeIwillaskdeficitquestions?MaybeIwillmeetherforthefirsttimeatthemapping?
Beforemeeting• Differentpossibilities
- maybeIwilldecidethattheprofessionalsaremakinglifedifficultforthismother?
-maybeIwilltrytoprovethemotherrightandtheseexpertswrong?
-maybeIwillignoretherisksintakingthisposition?
Beforemeeting• Anotherpossibility- thechosenroute
- totakeaboth/andposition-meetwiththefamily-meetwiththeprofessionals-starttoseemultipleperspectives-activelisteningbegins
Meetingthefamily• Mumtellsherstory- shedoesn’tfeellistenedto,shefeels
disrespected,sheisangrythatanyonecouldthinkshewouldhurtherchild.
• Emotionswithintheprocess- howdowedealwiththeseassocialworkers?Whatthingsresonatewithusandhowdowerespond?
• Mumhashadotherexpertadvicethatsheisfollowing.• Mumtellsthestoryofthe“bucketlist”andthelostbabies.• Imeetthechildinherenvironment.
Meetingtheprofessionals• Amirroringofmum’sstory.• Theprofessionalstellmethattheydon’tfeellistenedto,feeldisrespectedandworrythatthischildwilldie.
• Emotionsasasocialworker- howdowedealwiththese?
• Theydonotknowthestoryofthelostbabies• Theytellthestoryabouthowmumhasmadeaprofessionalcry.
InsearchoftheFifthProvince• Allagreethattheywillmeettomapthecase.
• Mumwantsthechildren’scommissionertoattend!!!
• Holdinghope
Mappingtheterritory• ArrivingintheFifthProvince• Preparation
-explainingtheprocess-whoneedstobeinvited?-Howlongwillthemeetinglast?-introductions-noticingthetension-theuseofquestioningandexplorationtowork
towardsnegotiation
Danger/Harm
Risk Statements
Safety
Strengths/ Protective Factors
Building Safety & Strengthening Families Practice Framework
GENOGRAM/ECOMAP
Client Name: UNOCINI Ref No: DATE:
Purpose/Focus of Consultation
Complicating Factors
Next Steps
(Immediate Progress)Safety/Protection
Required
Current Ranking
GreyArea
NavigatingourWaythrough
Theimportantroleofthefacilitator-positioning/repositioning
• Doublelistening(narrativeapproach)- hearingtheproblembutlisteningoutforstrengths/possibilities
• Curiosity(Cecchin)
• Co-creatingintheroom
• Aquestioningapproach
Theimportantroleofthefacilitator-positioning/repositioning
• PastandworryQuestions- Whathashappenedsofarthathasimpactedonthechild?+veand–ve
- Howhavetheseincidentsimpactedonthechild?- Whatistheevidencetosupportthestatements?
- Dopeopleunderstandeachother’sworries?
Theimportantroleofthefacilitator-positioning/repositioning
• PredictionQuestions-Ifmumusestheadviceshehasbeengivenhowwillthisimpactonthechild?-Ifmumdoesn’tusetheadviceshehasbeengivenhowwillthisimpactonthechild?-Whatarepeople’sfearsandworriesaboutthefuture?-Whatistheworstthingthatcouldhappeniftheproblempersists?
StrengthsBasedQuestions- Whatisgoingwellinthechild’slife?- Whataretheprotectivefactorsaroundthechild?- Havetherebeentimeswhentheproblemhasnotbeenthereorhasbeenapproachedinadifferentway?
- Whoisinthesupportnetwork?- Howhavetheyhelpedorhowcantheyhelp?- Evidencethestatementsmade.
Examplesofstrengths• MumsaysS hasputon14lbsinlastthreemonths– Shasalsohadfewerepisodesofsicknessandhasmoreenergy.
• RichardsaystherehavebeennoconcernswithinChildren’sDisabilityTeamasthehomeiswarm,comfortableandloving.SspoketohersocialworkerAnninApril2014aboutherownfeelings(seeworkwithchild).
Exploringtherisks• Therewas1riskstatementwhereeveryonerealisedthattheywereallworriedaboutthesamething.
• Everybodyatthemeetingisworriedthatifthe****recommendationsarenotfollowedthroughbyall,whetherathome,school,hospitalorwhereverSis,thatthiscouldleaveS atriskofchoking,foodgoingintolungs,gettinginfectionthatmayleadtolungproblemsthatmayleadtodeath.
LandAhoy!!!Findingourdestination
• Agreeingaplan• Whatwillconvinceeveryonethatthechildissafe?
• Whowillreviewthis?• Howwillthisbereviewed?
Examplefromsafetyplan– Smallamountsoffoodtobegivenastastesforpleasureandnotasaregular
event.– WhenathomeonlymumwillfeedSandnototherfamilymembersbecause
thiscouldmakeSchokeandshecouldbecomeseriouslyill.– OnlytheagreedpeoplecanfeedSatschooloratthehospital.Thesepeople
areNthedieticianandCtheclassroomassistantwhohasbeentrained.– Foodshouldbecutinto2mmpiecesandgivenasrecommendedonpage2
ofthe***report.– Swillsitinherspecialchairforthissothatshehasthecorrectposturefor
swallowing.– SShouldbeinaquietenvironmentwhenfeedingforpleasuretakesplaceto
avoiddistractionsorincidentswhereScouldchoke.
Evaluation• “Idofindwe’rebetterunderstoodnow…Ididfeelwewereheard.Ididfeelitwasmoredemocratic…otherthanthatmeeting,they
neverfeeldemocratic,theyalwaysfeelthemandus…youalwaysfeelunderthemicroscope…Itwasallprepared…thatmakesyou
feelthoughtabouttoo…makesyoufeelvalued,youknow,thatyou’renotjustthenextontheconveyorbelt…everyonewaslooking
atthisthingratherthanatusandthat,initself,isamassiveshiftbecauseyoufeelthatscrutinyandwhenthey’realllookingatyou
it’sveryhardtobeempowered…ortofeelyouevenhaveavoice”
(Mother)
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Developments
PracticePrinciples DVD Manual
• Evaluation• ChangingProcesses/Structures• Transferabletodifferentserviceswithintheorganisation
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