7/6/09Office of Training and Professional Development1 Unit 3D: Safety Assessment Safety Permanency Well-being

7/6/09Office of Training and Professional Development2 Assessing Safety throughout the life of the case

7/6/09Office of Training and Professional Development3 Advising Parents About Difficult Developmental Stages Article: 7 Deadly Sins 1.Colic 2.Awakening at Night 3.Separation Anxiety 4.Normal Exploratory Behavior 5.Normal Negativism 6.Normal Poor Appetite 7.Toilet Training Resistance

7/6/09Office of Training and Professional Development4 Statutory Definitions Abuse Neglect Dependency

7/6/09Office of Training and Professional Development5 Cultural Competence Families are our guides to how things work in their family, what values, beliefs and assumptions they hold.

7/6/09Office of Training and Professional Development6 July 7, 2016 Safety Assessment Goals Determine if there is (or is not) a threat to the child’s safety; Determine if the child is safe or unsafe; and Use our critical thinking skills to analyze and apply the information we collect from the safety assessment process to the safety plan and interventions that will achieve child safety.

7/6/09Office of Training and Professional Development7 Home Safety Checklist

7/6/09Office of Training and Professional Development8 Safety Assessment Child Endangerment Risk Assessment Protocol - CERAP - To insert your company logo on this slide From the Insert Menu Select “Picture” Locate your logo file Click OK To resize the logo Click anywhere inside the logo. The boxes that appear outside the logo are known as “resize handles.” Use these to resize the object. If you hold down the shift key before using the resize handles, you will maintain the proportions of the object you wish to resize.

7/6/09Office of Training and Professional Development9 Overview of CERAP CERAP is a structured approach to decision-making designed to guide, support and document professional judgment in situations in which children are potentially in danger immediately or in the very near future.

7/6/09Office of Training and Professional Development10 Protecting Children Stages of Assessment – Information Gathering – Information Analysis – Drawing Conclusions – Making Decisions

7/6/09Office of Training and Professional Development11 Contents of Protocol Safety Determination Form – CFS 1441 Practice Guidelines An instrument to document findings, decision-making, and actions. Set of factors that focus assessment on child safety, and circumstances or family strengths that might impact these factors.

7/6/09Office of Training and Professional Development12 Definition of Safety A child is considered to be safe when an assessment of available information supports the belief that a child is not in immediate (near future) danger of moderate to severe harm.

7/6/09Office of Training and Professional Development13 Moderate to Severe Harm The threat of: Danger to the child’s life or health Impairment to his or her physical or mental well being Disfigurement

7/6/09Office of Training and Professional Development14 Definition of Risk Risk is the likelihood of any degree of longer-term future harm/maltreatment. Note: It does not predict when the future harm might occur, but rather the likelihood of it happening at all.

7/6/09Office of Training and Professional Development15 Safety Risk Note: Note: Safety is a subset of Risk

7/6/09Office of Training and Professional Development16 Similarities between Safety and Risk Both concerned with future harm. Both relate to conditions of: –Home environment –Caretaker or family member behavior Both can change quickly. Both can be controlled.

7/6/09Office of Training and Professional Development17 Differences between Safety and Risk Time:Time: –Safety: Now or in the very near future –Risk: Longer term Degree of HarmDegree of Harm –Safety: Moderate to Severe –Risk: Low to Severe Purpose of InterventionPurpose of Intervention –Safety: Control –Risk: Resolve or Reduce

7/6/09Office of Training and Professional Development18 What does this mean for you? Safety must be assessed quickly, often in one visit. Risk is assessed over a longer period of time, allowing time to gather, assess, and evaluate information.

7/6/09Office of Training and Professional Development19 Determining Safety Concerns and Risks Mini Case Scenarios

7/6/09Office of Training and Professional Development20 Activity Each scenario could be presenting a safety concern, a risk or be no concern. Also identify if there are any cultural factors or contributing factors. Write answer in margin.

7/6/09Office of Training and Professional Development21 Steps to Determining Safety Step 1: Identify relevant safety factors. Step 2: Describe the safety factor you checked. Step 3: Record family strengths and mitigating circumstances. Step 4: Make Safety Decision

7/6/09Office of Training and Professional Development22 Safety Factors Factors 1-14: Assessing immediate danger of moderate to severe harm due to the identified factor. When assessing for Safety, consider: –Age & developmental status of child –Mental, medical, developmental status of caretaker –Type, severity, location of injury –Intent, severity or duration of the behavior Factor 15: Provides discretion for identifying other safety factors.

7/6/09Office of Training and Professional Development23 Definition of Paramour “…no legal or biological relationship to all the children.”

7/6/09Office of Training and Professional Development24 Definition of Caretaker In relation to CERAP, “caretaker” refers to anyone who impacts the child’s safety in the home.

7/6/09Office of Training and Professional Development25 Family Strengths Sometimes the best way to identify strengths is to directly ask the family.

7/6/09Office of Training and Professional Development26 Making the Safety Decision If no Safety Factors are marked or Safety Factors that are marked as concerns can be mitigated, it is SAFE. If Safety Factors are marked as concerns and cannot be addressed by family strengths or mitigating factors, it is UNSAFE.

7/6/09Office of Training and Professional Development27 Safety Planning If home is found to be UNSAFE: Step 5: Develop/implement Safety Plan. –Time frame for implementation. –Plan for continued monitoring. –A contingency plan if the primary safety plan is no longer effective. –Requirements for terminating plan. Step 6: Obtain required signatures and distribute plan.

7/6/09Office of Training and Professional Development28 “Least Intrusive” Placement is not always needed to control for harm. What would be less intrusive options?

7/6/09Office of Training and Professional Development29 Preparation for CERAP Exam Questions Case Scenarios General questions about assessing for safety, the Safety Determination form and Safety Planning

7/6/09Office of Training and Professional Development30 Preparation for CERAP Exam Questions Sample Test Questions

7/6/09Office of Training and Professional Development31 Activity Sample CERAP exam

7/6/09Office of Training and Professional Development32 Activity Complete the Safety Assessment for Elena and her children in SACWIS.

7/6/09Office of Training and Professional Development33 Assessing for Risk How does a physician screen for risk?

7/6/09Office of Training and Professional Development34 Risk Assessment Historical Here and now Future oriented

7/6/09Office of Training and Professional Development35 Process of Risk Assessment Intake Investigation Assessment Case Planning Ongoing Assessment

7/6/09Office of Training and Professional Development36 How does culture fit in? In more ambiguous cases, assessing risk must occur within context of culture.

7/6/09Office of Training and Professional Development37 Risk Assessment Protocol (RAP) –Gathering information –Analyzing Information Identifying risk factors present Identifying strengths –Drawing Conclusions Determining level of risk –Making Decisions

7/6/09Office of Training and Professional Development38 The Risk Assessment Protocol 34 risk factors Divided into 4 groups -Maltreatment -Caretaker –Child –Family Functioning Two summaries –Parent –Child

7/6/09Office of Training and Professional Development39 Risk Analysis Is the risk factor present? If YES, did this factor contribute to the incident? Describe If YES - Can the child be safely maintained in the home with a safety plan? Describe If NO - Is this factor likely to become significant for ongoing safety? Describe If NO, is this a strength of does it mitigate other factors? Describe

7/6/09Office of Training and Professional Development40 Activity Complete the Risk Assessment for Elena and her children in SACWIS.