1. behaviorally based case plans

2. Today’s agenda: Case planning Three parts
First: Rules to success
Rest does not work without following the rules
Key to success is Engagement
Second: Rest of the steps – the actual plan
Where this fits into SOP
Build from Danger Statement
Answers Safety Goal
Third: How it fits into CWS

3. Let’s build on what is already working
Think of a case plan that you think was really successful
What made it successful? If I was watching you work with that family, what would I see you do?
Now, let’s use the collective knowledge in the room:

4. case Planning KEY Steps
First: Engagement - Step One Of Case Planning
Hardest Step
Plan will not work without it
How we get the right assessment
Second: Rest of the Steps
Individualized
Fit family culture
Behavioral objectives
Focused on the safety goal
Services related to the behaviors

5. Challenge today and when working with families

6. Start with a Few Rules First rule is the hardest
It will take great discipline
A habit we can break

7. Rule one Services are the LAST piece of the puzzle
We will get there
after we have our path

8. Safety and services are not the same thing!
Remember
Behavioral case plans reflect this belief – they are about behavior
Safety and services are not the same thing!

9. Second Remember: Engagement rather than persuasion
Connection Before Correction
Engagement rather than persuasion
Think: Whose idea is this?
Success = the more their idea, the more they will do it

10. Engagement Compliance vs. Engagement
On scale of 1-10
ten being we focus on engagement
one being we focus on compliance
Where are we in practice?
What did you do to get to that number?
Solution focused questions get us here.

11. Engagement is about seeing and focusing on what people do right AND what is important to families In other words: look for the Motivators
WII-FM

12. What are your families’ motivators?
Think of a family you are working with who needs to learn parenting skills
What is the benefit to them if they learn new skills?

13. Third Think behavior Can you see it in your head?
Do you all see the same thing?
Ask questions looking for the details

14. Back to foundation of SOP
What words do we use that are not behavioral?
What words are hard for us to put into behavioral language?

15. Now we’re ready to develop a case plan
Scale the engagement of the family.
If you have low numbers, assess were they are in the change process, think motivators as you work.
Set up a meeting to talk about case planning.
Let them know this is hard work, but you will help them understand what is expected by all and what the court looks at. However, the solutions need to come from them.
Go back to the map and danger statement and safety goal.

16. Rule Four
Dig where the ground is soft Start with what you have already agreed on
Build on SOP

17. Where are we in the process? You have engaged and assessed
Mapped with the family Asked three questions
Sorted for harm/danger
SDM Safety Assessment - assessment
Safety threat is goal of case plan
Danger Statement
Related to safety threat
Risk Assessment – assessment
How worried are we that it might happen again?

18. Where are we in the process?
Consultation Framework – assessment Asked three questions
Sorted for harm/danger
Safety Goal - success looks like
If the safety threat was resolved, what would it look like?
FSNA - assessment
Looked for the underlying issue. What is the context?
Now ready to create case plan

19. Remember this?
The FSNA is focused on this. Do we understand the reason parent put child in danger?
Let’s try it on:
Mom hits child because
Successful case plans focus on what is under the water –
the reason people do what they do

20. Let’s try it on What might be the context for hitting her child?
Danger statement: Sue(Mom), Jan (PGF), Wally (Dad), and CWS worried Sue will hit son again resulting in broken arm or more serious injury when she__________________
Safety Goal: Sue agrees to work with network to make sure that she is/can _____________ when she disciplines her son and will uses non-physical ways of disciplining her son.
What might be the context for hitting her child?
What would you need to see to know that the danger will not happen again?

21. The case plan gets us from the danger statement to the safety goal!
Danger Statements
(What we are worried could happen without intervention)
Acts of Protection – the objectives
(Taken by the caregiver that mitigate the danger, demonstrated over time)
Safety Goal
(What we need to see to know we can close the case – not services)

22. Successful safety goals and objectives focus on what people will do
If mom was using drugs we would need to see…
If mom hits dad, what would you want to see?
If dad hits the children?
If the parents left the child unsupervised?
Ask questions that seek behavioral details
Remember – no dead man goals

23. Developing objectives
Outcomes
End state
Have done it
Behavior
Family friendly language
Comes from the family

24. S.M.A.R.T. Objectives Specific- see it Measurable - Hey mom test
Achievable/Attainable - doable
Results-oriented/Relevant - will have
Time Limited- break it up

25. Let’s try it
Write a SMART objective that meets your safety goal Give it the SMART test

26. Remember this
Danger statement: Sue(Mom), Jan (PGF), Wally (Dad), and CWS worried Sue will hit son again resulting in broken arm or more serious injury when she__________________
Safety Goal: Sue agrees to work with network to make sure that she is/can _____________ when she disciplines her son and will uses non-physical ways of disciplining her son.
Using the underlying issue what would the objective be. What behavior can we count and measure that helps the family meet the goal?
Why would a parent hit a child? Generate a list from the group. Pick there most popular and break class into three parts – giving each group one reason.

27. Million Dollar Question
How many objectives can a family really do in 6 months?
FSNA leads us to have ______ objectives
Truth – Less is better

28. Try another
Danger Statement: Jean(Mom), Chris (GM), Mike (BF) are worried that John (dad) can drink to the point of passing out, leaving children unsupervised, and they could get hurt again.
Safety goal: John will work with this network to make sure that there is always a drug-free and sober adult caring for his children.
What would the objective be:
Think smart
What would we need to see to know the safety goals are met?
FSNA – DOA, family supports, limited coping skills
Objective: Dad will have demonstrated that he is sober and has followed a plan to maintain his sobriety for 6 months.
Dad will have two people he has called on to help him with child care and that can help him meet his plan for sobriety

29. Try Another
Danger Statement: GM, father and neighbor are worried that mom and boyfriend may get mad and throw things and hit each other in the children’s presence resulting in the children becoming scared and getting hurt.
Safety goal: mom and dad will work with her network to ensure that adults are able to resolve conflict using only words that do not scare her children.
What would the objective be:
Think smart
What would we need to see to know the safety goals are met?
FSNA – DOA, family supports, domestic violence
Objective: Dad will have demonstrated that he is sober and has followed a plan to maintain his sobriety for 6 months.
Dad will have demonstrated that he can call two to help him with child care and that can help him meet his plan for sobriety

30. Let’s try it
There are danger statements and safety goals around the room. Pick one you want to work on
As a group, develop what might be the underlying issues to help the family get to the safety goal? (what might be in the FSNA) Write three.
Chose one of those and write a SMART objective.
Objectives:
Within the next 4 months, Mom will have demonstrated 3 ways she can be calm when she disciplines her child.
During the next 3 months Dad will have demonstrated that he has developed and followed his plan to maintain his sobriety and will be drug and alcohol free.
Within one month Mom and Dad will develop a 3 ways to resolve conflict using only words that do not scare their children and ensure that everyone feels safe. They will have demonstrated there ability to use these strategies for the next 5 months.
Dad will have demonstrated that he can keep his children safe by following his safety plan that ensures he will only have adults in his home that are sober and able to be calm around his children. He will demonstrate this for the next 5 months.
Mom will have demonstrated that she can use 3 other ways to discipline her children when they break the rules .

31. Got the objective You have a SMART objective!!!!
Then focus on how the objective will be met and how the network will know that?
Ask questions that look for details
SMART details
Who, what, when?
Pull in the network for ideas
How have they done it in the past?

32. Let’s make it personal
You have a friend (or yourself) who wants to get healthy. They want to lose 10 lbs.
Objective is: Friend (you) will have lost 10 lbs. in 3 months.
What would be the steps to get there?

33. Each person’s path is different
Here is the hard part.
I know the solutions but they are my solutions, not theirs
Needs to come from the family?
How?

34. The art of asking questions
“If I had an hour to solve a problem and my life depended on it, I would use the first 55 minutes to formulate the right question because as soon as I have identified the right question, I can solve the problem in less than five minutes.”
Lots of models are now looking at this. Weither facilitation, corporate problem solving, counseling. Asking good questions is an are form.

35. Remember this? What is your favorite?
Exception Questions
Past history of protection
Scaling Questions
Sharing judgment, steps to change
Position Questions
Seeing through others eyes
Coping Questions
Solutions even in the face of difficulty
Preferred Future Questions
A vision for what could be
These questions can help surface past trauma and help a person to find solutions, pathways to resiliency and healing.

36. Examples of questions to ask
When this is all behind your family, what will you be doing differently to parent your children?
What do you think needs to happen to get us from “here”, where everyone is worried, to “here” where your children are always safe?
If we had to identify two or three needed steps to get there, what might they be?
What new actions or behaviors might your children want to see you take to feel confident that the violence will not happen again?
What should be the first step? How about identifying important people to help you along this journey? People who care about you and the kids.

37. Let’s try it From the objectives:
As a group, make a list of questions you could ask to find strategies that would work for a family
What are some of your favorites?
Objectives:
Within the next 4 months, Mom will have demonstrated 3 ways she can be calm when she disciplines her child.
During the next 3 months Dad will have demonstrated that he has developed and followed his plan to maintain his sobriety and will be drug and alcohol free.
Within one month Mom and Dad will develop a 3 ways to resolve conflict using only words that do not scare their children and ensure that everyone feels safe. They will have demonstrated there ability to use these strategies for the next 5 months.
Dad will have demonstrated that he can keep his children safe by following his safety plan that ensures he will only have adults in his home that are sober and able to be calm around his children. He will demonstrate this for the next 5 months.
Mom will have demonstrated that she can use 3 other ways to discipline her children when they break the rules .

38. Now that you have asked the questions
What might the strategies be?
What steps would help the parent meet the objective?
As a group
One person be a parent
One person ask a few of the questions
One person write the ideas on the chart

39. Now that we have the objectives and the strategies
You are ready for services.
What questions can you ask to facilitate having case plans with services that help families meet their goals?

40. Questions focused on services
What might get in the way of the behavioral change we are seeking?
What other supports might help?
When other people in your family/community got the help they needed with something like this, where did they go?
When things were better for you, what helped? Who helped?
If you could find the right kind of service to support you in making these changes, what would it be? Where would it be? Who would it be with?
If you don’t have ideas, perhaps others could offer suggestions?

41. Services What services do you think work the best?
What have you seen be the most successful?

42. Client Responsibilities Think S.M.A.R.T.
Think about the details
How often – frequency?
What is the focus of the service?
Have clear expectations
Cover the barriers
How are they going to get there?
Who will watch their children?

43. Example
Objective is: During the next 3 months, Ms. Williams agrees to have demonstrated 3 strategies to manage her feelings of being overwhelmed when she is caring for her children.
She agrees to work with her network to develop a list of strategies
She agrees to ask for help when she is feeling overwhelmed
Client Responsibility is:
By August 30, 2016, Ms. Williams agrees to enter individual therapy with a therapist mutually agreed upon by Ms. Williams and the social worker and will address issues relating to Ms. Williams coping strategies when feeling overwhelmed as a single mother of two. Therapy may include group or individual counseling. Ms. Williams will not terminate treatment until the therapist, social worker and Ms. Williams agree that she is ready for termination.

44. Last part of case plan Go back to your objective and strategy.
List questions you can ask about services
List some services
If there is time walk around and see everyone elses

45. So let’s put it together: Steps of case planning
Engaged and assessed
Mapped with family
Safety assessment and risk assessment
Created danger statement
Consultation framework
FSNA
Created safety goal
Developed objectives
Strategies to meet objectives
Developed services to meet objectives

46. Meet Jenna
Please read through the Jenna Case Example, and as a group prepare to develop a case plan with Jenna
Then, as a group, develop 1 objective and 1 strategy on chart paper
Remember FSNA
Have them ask questions and we will answer them.

47. What about CWS/CMS? First remember – it’s not about the computer
Best idea – develop case plan with the family and then put it into CWS/CMS
Your county will figure out the “exactly where” it fits in CWS/CMS
Using your case plan, look at the menu of objectives – pick the one that is closest to your objective.

48. CWS/CMS Service objectives
Click the objective that is closest to your objective
Put your SMART objective and strategies in the descriptive section
Do the same for services
Click the item closest to what you all agreed on
Put the details in the descriptive box
Take a look at the example:
What do you like?
What is worrisome?

49. review We focused on Engagement by:
Mapping for safety/ framework/ three questions
Asking solution focused questions
We used our assessment tools (SDM safety, risk and FSNA) to:
Develop danger statement and safety goal
Focus on case plan on the 3 underlying issues
With the family developed SMART objectives
Asked questions to get strategies to meet objective
Then and only then developed services that meet the family’s culture and needs
Related to the objective

50. Now what is your
WII-FM
Now as we close the day, remind them that they will be doing some TOL. We want to know what is you want to add to your skills.

51. What do you want to take back?
What do you want to remember?
What would be the benefits?
What would be the first steps
As a TOL have them write this down, share with the table.

52. Thank-you for what you do!
You are doing such important work in very hard times!!!!