1. 1 Welcome Back to Day 3 of TDM FACILITATOR TRAINING Any questions/ concerns/ thoughts left over from yesterday?

2. 2 Today we will focus on the meeting itself, stage by stage, with practice opportunities.

3. 3 SECTIONS OF A TDM MEETING Before During (6 Stages) After Review

4. 4 DO BEFORE THE MEETING: REVIEW REFERRAL INFORMATION CHECK IN WITH SOCIAL WORKER - RELEVANT “PROCESS” INFO PREPARE THE ROOM THE TDM MEETING BEFORE… Handout 10-1

5. 5 DON’T JUST SHOW UP ARRIVE LATE OVER PREPARE – FORM AN OPINION ABOUT THE “RIGHT” OUTCOME ALLOW STAFF TO SELECT SEATS BEFORE FAMILY ARRIVES

6. PLEASE LINE UP ALPHABETICALLY BY YOUR FAVORITE MUSICIAN 6

7. 7 THROUGHOUT THE MEETING Handout 10-2 TRUST THE PROCESS CARE FOR ALL GROUP MEMBERS KEEP ALERT ENCOURAGE PARTICIPATION BY ALL MAINTAIN BALANCED PARTICIPATION DEMOSTRATE RESPECTFUL, PROFESSIONAL BEHAVIOR

8. 8 SEPARATE PROBLEMS DISCUSSED FROM THE PEOPLE DISCUSSING THEM PICK-UP ON SIGNALS/CUES THAT THE GROUP IS READY TO MOVE FORWARD OFFER “FAMILY ALONE TIME” IF IT APPEARS FAMILY WILL BE BENEFIT WATCH YOUR NON-VERBAL MESSAGES STEP INTO CONTENT ISSUES..… THROUGHOUT THE MEETING Handout 10-2

9. 9 THE TDM MEETING Handout 10-3 INTRODUCTION IDENTIFY THE SITUATION ASSESS THE SITUATION DEVELOP IDEAS REACH A DECISION RECAP/EVALUATION/CLOSIN G

10. TDM Stages Majority of time should be in these stages Introduction Identifying Situation Assessing Situation Developing Ideas Reaching a Decision Recap/Close handout 10-4

11. 11 INTRODUCTION Sets tone Explains purpose and goal of meeting Introductions Establishes Ground Rules Answers Initial Questions

12. 12 KEY ELEMENTS OF INTRODUCTION Handout 10-5 oWelcome oStatement of purpose and goal of meeting oDeclaration of desire to work together— all opinions and ideas considered. oHope to agree on decision, though ultimately agency responsible to make decision, if unable to agree

13. 13 o Introduction of participants, roles and relationship to child/ family/ case o Ground rules o Opportunity for questions o Recognition of parent(s) as experts on their children KEY ELEMENTS OF INTRODUCTION Handout 10-5

14. 14 INTRODUCTIONS Handout 10-6 DON’TDO: Be Too Easygoing Be Professional Be Too Formal Be Engaging Be Preoccupied Be Present Use Jargon Use Everyday Language Rush Set and maintain a calm and steady pace for the meeting

15. 15 GROUND RULES RIGHT TO PRIVACY ALL PARTICIPANTS WILL BE TREATED WITH RESPECT ONLY ONE PERSON WILL SPEAK AT A TIME EVERYONE WILL HAVE AN OPPORTUNITY TO SPEAK AND ASK QUESTIONS TIME FRAME PLUS…

17. 17 IDENTIFY THE SITUATION Handout 10-7 Define the Concern(s); Assure the situation is defined as completely and accurately as possible This is a very brief stage – What was the situation that prompted the meeting?

18. YOUR IDENTIFICATION OF THE SITUATION

19. 19 ASSESS THE SITUATION Handout 10-8 Assure full evaluation of risks and strengths Encourage full disclosure Clarify facts from opinion Summarize, identify and link differences and common ground

20. ASSESSING THE SITUATION Handout 10-9 CONCERNS Ask participants to be behaviorally specific Explain “how” and “why” it is unsafe or a risk factor STRENGTHS Strengths that can help mitigate/lessen the concerns Strengths that can be protective factors 20 Concerns should be talked about FIRST so that strengths can be directly related to concerns presented

21. YOUR ASSESSING OF THE SITUATION

22. 22 BRAINSTORMING GUIDELINES Handout 10-11 and 10-12 Brainstorm, don’t evaluate or judge Anything goes, be creative Ensure ALL ideas are charted Include EVERYONE Quantity not quality Hitch hike combinations and improvements DON’T EVALUATE IDEAS!!

23. 23 Develop Ideas related to the decision that must be made. The questions to ask are: 1.What ideas do we have to address the concerns that have been identified? 2.How can we utilize the strengths that have been identified? IDEAS SHOULD BE IN THREE CATEGORIES: 1.Placement/custody 2.Actions to provide safety 3.Services to Reduce risk and support placement

24. YOUR DEVELOPMENT OF IDEAS

25. 25 Consensus Decisions Handout 10-13 Start with the least restrictive placement/ custody suggestion. Reality Test - can this suggestion provide protection and safety? If YES, then look at what services/supports are needed to make it work.

26. 26 If NOT, ensure an explanation is given (doesn’t have to be the facilitator giving it) as to why not, before moving to the next level of restrictiveness for consideration. This ensures that the team is truly examining what is the least restrictive/ least intrusive way of keeping this child safe. Consensus Decisions Handout 10-13

27. 27 REACHING A DECISION IF MEMBERS DO NOT AGREE FACILITATOR MUST ASK THEM “ WHAT WOULD IT TAKE/WHAT DOES THERE NEED TO BE IN PLACE FOR YOU TO FEEL COMFORTBALE WITH DECISION? CHECK – CAN MEMBERS SUPPORT THE DECISION?

28. Using Idea Chart To “Reach a Consensus Decision” Using Idea Chart To “Reach a Consensus Decision” Handout 10-14 28 Ideas Actions to Provide Safety, Services (to Reduce Risk) and Supports for Stability Ensure Explanation – Why Not? Examine Next Level of Care If Yes:

29. Levels of Decision Making All Participants Child Welfare Staff Social Worker

30. YOUR REACHING A CONSENSUS DECISION

31. 31 REVIEW PROCESS Handout 10-15 WORKER MAKES DECISION WHEN LACK OF CONSENSUS BETWEEN PARTICIPATING STAFF ONLY PARTICIPATING AGENCY STAFF CAN ASK FOR A REVIEW REVIEW CAN BE REQUESTED BY AGENCY STAFF ONLY DUTY TO REQUEST A REVIEW IF BELIEF THAT DECISION PUTS CHILD AT RISK OF HARM, VIOLATES LAW/ POLICY, OR IS NOT LEAST RESTRICTIVE/LEAST INTRUSIVE

32. 32 REVIEW PROCESS Handout 10-15 TIMELY REVIEW WITH ADMINISTRATIVE PERSONNEL NOTIFICATION OF INTENTION TO REQUEST A REVIEW SHOULD BE MADE IMMEDIATELY. DECISION BY ADMINISTRATOR BECOMES OFFICIAL AGENCY POSITION AGENCY STAFF ACCEPTS OWNERSHIP AND IMPLEMENTATION RESPONSIBILITY FOR DECISION

33. 33 REVIEW PROCESS AND THE FAMILY When there is an Review, how do we help the family during this period of increased ANXIETY? How do we EXPLAIN to the family what is happening and why the decision is being reviewed?

34. 34 EXPLAINING THE REVIEW TO THE FAMILY Handout 10-16 REFRAME THE REASON CAREFUL RIGHT DECISION THE LEAST HARMFUL PROTECT THE CHILD(REN ) ACKNOWLEDGE FEELINGS. EXPLAIN HOW WHO WHEN WHO DEVELOP AN INTERIM PLAN IF NECESSARY

35. 35 RECAP/ EVALUATION/ CLOSING Handout 10-17 to 10-19 CHECK UNDERSTANDING COMPLETE ACTION PLAN/SAFETY PLAN ASK/ RESPOND TO QUESTIONS ENSURE EMOTIONS/ RESPONSES ADDRESSED SET FURTHER MEETING DATES APPROPRIATE CLOSING THANK THE MEMBERS OF THE GROUP

36. YOUR RECAP/ EVALUATION/ CLOSE

37. 37 AFTER THE MEETING Handout 10-20 COMPLETE NOTES GIVE FEEDBACK TO STAFF RECEIVE FEEDBACK COACH; SHARE POSITIVES COMPLETE DATA COLLECTION

38. 38 FEEDBACK Handout 10-21 FEEDBACK IS GIVEN TO BE HELPFUL AND TO BENEFIT THE RECIPIENT OF THE FEEDBACK IS READY FEEDBACK IS DESCRIPTIVE, NOT A JUDGMENTAL PERCEPTION FEEDBACK IS GIVEN IN A TIMELY MANNER, THAT IS, AT THE TIME OF THE OBSERVATION OR SOON THEREAFTER INFORMATION ADDRESSES CONCERNS THAT THE RECEIVER IS CAPABLE OF CHANGING THE INTENDED MESSAGE IS THE MESSAGE THAT IS RECEIVED ALTERNATIVE BEHAVIORS ARE EXPLORED FEEDBACK IS GIVEN ON POSITIVE BEHAVIORS, NOT JUST NEGATIVE ONES

39. TDM INDICATORS AND OUTCOMES Handout 10-22 39

40. 40 GOOD NIGHT SEE YOU TOMORROW AT 9AM