Best practice Standards Ólöf Ásta Farestveit Leader of Barnahus Zagreb 2nd to 4th of February

Standard 4 Child friendly environment House in a residential area No marking outside The address is hidden First thing they see when they come inside Give the child something when they they come

Environment Minimize anxiety Age appropriate waiting rooms Age appropriate therapy sessions Family therapy Group therapy

Pictures

Accessibility Safety of the child Neutral location Close to the buss station Two floors – two doors IT- link to the Court Access for handicapped and disabled children

Privacy and preventing contact Not offender friendly place Two doors and two floors Hidden address Sound proof rooms Parents wait in another room Therapy room with thick doors

Interview room Observation from another room Communication through ear prop Not one-way mirror Safed on DVD Interviewer specialised in interviewing and child´s development

Standard 9 Therapy After the interview – the child gets therapy Family gets support Evidence based therapy

Assessment Provides a picture of what´s going on with the child Helps to determine Presenting symptoms The need for treatment What type of treatment is best fit? Helps in development of treatment plan Enables therapist to assess treatment progress Methods: Formal, Standardized Measures Clinical interview Clinical observations

Assessment tools Depression and anxiety scales BDI-II – Becks Depression Inventory BYI – Becks Youth Inventories CDI – Kovack´s Children´s Depression Inventory DASS – Depression Anxiety Stress Scales MASC – Multidimensional Anxiety Scale for children

Assessment tools PTSD scales CAPS – Clinician Administered PTSD Scale Semistructured interview UCLA-PTSD index for DSM-IV PSS-SR – PTSD Symtom Scale – Self Report

PTSD assessment UCLA PTSD reaction index Information about trauma exposure and PTSD symptoms Yes/no response to 13 trauma exposure qestions

Type of therapy According to WHO (world health organisation) TF-CBT (Trauma-focused cognitive-behavorial therapy) http://tfcbt.musc.edu/ CBT (cognitive-behavioral therapy) CPT (cognitive-processing therapy) EMDR (eye movement desensitization and reprocessing) Psycho-education Play therapy Sand-therapy Behavioral - modification Building self esteem /self respect Family therapy (assessment)

Iceland – one Barnahus

Standard 12 challenges Court procedure The law Changes in the law The law say specialiced person to interview Special equipped room for interviewing children Barnahus should be mentioned in the law That judges would use Barnahus for interviewing Trust among the defendant lawyers Trust the staff to do the interview in a neutral way Trust the Barnahus staff to be professional Understand the protocol Understanding the difference between interview/ therapy