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

2. 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

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

4. Pictures

5. 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

6. 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

7. 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

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

9. 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

10. 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

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

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

13. Type of therapy According to WHO (world health organisation)
TF-CBT (Trauma-focused cognitive-behavorial therapy)
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)

14. Iceland – one Barnahus

15. 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