Maine NTI Kick Off Meeting July 14, 2016 · 6/2/2018  · Therapeutic parenting strategies - ......

Maine NTI Kick Off MeetingJuly 14, 2016

Today’s Agenda

• Welcome• Introductions• History of C.A.S.E• Overview of NTI• Curriculum Demo• Q&A

Imagine

Take a moment to think about a foster or adoptive

family that you have worked with in the last

year that has been having serious difficulties.

Categorize

Child genetic factors Child prenatal experiences Child maltreatment in birth family Separation and loss from birth and extended family Child adverse experiences in child welfare system Caregivers’ problems or challenges in parenting

Center for Adoption Support and Education (C.A.S.E.)▪ Adoption competent clinical services

▪ Adoption competency training for professionals

▪ Publications and educational programs

▪ Life skills programming for transitional youth www.adoptionsupport.org

NTI Goals

Build capacity

Improve outcomes

Complement existing initiatives

Pilot Sites

• California

• Illinois

• Maine

• Minnesota

• Oklahoma

• South Carolina

• Tennessee

• Washington

Sneak Preview

Adoptions TodayElevated risks for developmental, health, emotional and/or behavioral issues

The impact of such experiences poses challenges for these children and their families at various times in the adoptive family life cycle

Adoption Competency

Values, Knowledge

& Skills

For Whom is Training Designed?

Child Welfare Professionals and Supervisors who . . .

Mental Health Professionals who . . .

Provide casework services for children in foster care who have a goal of adoption/ guardianship

Prepare children/youth for adoption or guardianship

Provide clinical services for children in foster care who have a goal of and/or are preparing for adoption/ guardianship

Prepare parents/guardians for adoption/ guardianship of children from foster care.

Provide clinical services for parents/ guardians who are preparing to adopt or assume guardianship of a child from foster care

Provide support for families (both children and adoptive parents/guardians) in the immediate post-placement period, prior to finalization

Provide clinical services for adoptive parents/ guardians and children/youth in the immediate post-placement period, prior to finalization

Provide post-permanency/post-finalization casework services with adoptive parents/guardians and children/youth from foster care

Provide post-permanency mental health services with adoptive parents/guardians and children/youth, including those adopted through private domestic and international adoption

Real Life Stories

“Every time I left my son’s therapist office I felt like a failure. He is so angry at me for being white…when I try to bring it up, his therapist says we need to focus on his risky behaviors…”

-Ana Alicia (Mother, age 51) -Antwoine (Son, age 15) African American

“I was sitting in the hospital after trying to kill myself, and the social worker lady told me, I should be happy that I was adopted, as my parents had gotten me out of the horrible orphanage.”

-Roberto (Age 14)

Need

Understanding of the impact of early and ongoing trauma on brain development, family development, and mental health

Why is it so difficult for this child to read? I think this kid is manipulating me with his behavior.

Module 6

Understanding survival behaviors (won't vs. can't) and helping parents reframe behaviors Therapeutic parenting strategies -typical parenting strategies may not be effective ARC and TBRITFCBT to help children and their parents begin to heal from trauma.

Curriculum Example

Enhance the child welfare professional’s role in helping and supporting children work through their trauma histories, as well as helping parents to better understand the impact of trauma and explore/use therapeutic parenting strategies to address acting out behavior.

Benefit

Competencies

• Children’s mental health needs

• Attachment

• Race, culture and diversity

• Loss and grief

• Trauma & brain development

• Positive identity formation

• Working with parents to promote the child’s “felt safety”

• Promoting family stability pre and post placement

Need

Understanding of attachment from the perspective of the child and the adoptive/kinship/guardianship parents

The parents are telling me that the child is not attaching to them and they have given up hope that she ever will. Should I make another plan for the child?

Curriculum Example

Module 3

Respecting the child’s existing relationships, developing strategies and supports that comfort the child through necessary moves can support their well-being over time.

Benefit

Greater capacity to understand how children experience their removal from birth family.

NTI Timeline

Cooperative Agreement Established

Partners and Staff Joined, Infrastructure Established

Assemble and Convene National Advisory Board

2014-15 2015-162016-17 2017-18

2018-19

Child Welfare Curriculum Development

Jurisdictional Scans to Invite Pilot Sites

Pilot Sites InvitedMOA and DUA Initiated (April ‘16)

Implementation Specialists Hired

Pilot States Kick Off

Child Welfare Curriculum Pilot Cohorts Outreach

Pilot State Implementation Teams Established

CW Curriculum Launch February ‘17

Implementation Teams add Cohort groups, monitor progress of trainees

CW Curriculum “close” December ‘17

Mental Health Curriculum Development

Pilot Sites MH Systems Outreach,MOA and DUA Initiated

Implementation Teams Identify Cohort for training

MH Curriculum Launch Jan. ‘18

MH Curriculum “close” June ‘18

Data Analysis, Evaluation Findings

Curriculum Revisions

National Launch CW and MH Curricula

Unique Features of NTI

• State-of-the-art evidence-informed curriculum

• User engagement

• Links to resources

• Downloadable content

• Drag and drop toolbox

• 508 compliant

• No cost to participants

Child Welfare Professional Training - 20 hours

Child Welfare Supervisor Training - 23 hours

Mental Health Practitioner Training - 25 hours

Coaching for Mental Health Practitioners – 4 sessions

Training Format

Impact on

Casework,

Child Welfare and

Mental Health

Systems

Need

This is a great family, I am sure they will be fine and won’t need anything else from us. Case closed!

Promoting family stability pre and post adoption

Curriculum Example

Module 8

The focus of this module will be on post-permanency work, the need to normalize, the need for help and common challenges families face post-permanency

Benefit

Enhance preparation of children and families though careful assessment, open and honest communication, understanding of the need for ongoing support to meet the needs of children and families to ensure permanency

NTI Web-based

TrainingDemonstration

NTI Responsibilities

▪ Access to web-based training

▪ Guidance through implementation

▪ Provision of technical assistance

▪ Assistance with communication & marketing

▪ Certificates of completion and CEUs

Pilot Site Responsibilities

▪ Convene Implementation Team

▪ Plan for technical capacity

▪ Provide feedback to NTI

▪ Recruit & retain target users

▪ Collaborate with NTI

Evaluation

Infusion of adoption mental health competencies in professional practice

Integration of trainings into state training systems for sustained use, free of charge, by CW professionals and MH practitioners

Fact Check:

The NTI Initiative will be piloted in 8 states.

The NTI Initiative includes: Child Welfare, Child Welfare plus Supervisor’s lessons, Mental Health plus coaching

The Web-based NTI pilot will be hosted on the UM OTC site

The total number of hours of training in the Child Welfare base curriculum is 20 hours.

The average length of a lesson in the Child Welfare curriculum is 30 minutes.

There is no minimum or maximum number of target users for each curriculum in each state.

Target users complete the Child Welfare training by December 2017

NTI Staff:

Debbie Riley, Chief Executive Officer, C.A.S.E.Riley@adoptionsupport.org 301.476.8525

Dawn Wilson, Director, NTIWilson@adoptionsupport.org 828.455.2315

Lisa Maynard, Implementation SpecialistMaine, Minnesota, Washington

maynard@adoptionsupport.org 585.507.7588

Emily Smith Goering, Implementation SpecialistCalifornia, Oklahoma

Smith-Goering@adoptionsupport.org 202.798.3424

Mary Wichansky, Implementation SpecialistIllinois, S. Carolina, Tennessee

Wichansky@adoptionsupport.org 240.606.4846

Laura Arroyo, Administrative Supportarroyo@adoptionsupport.org 301.476.8525

June Dorn, Federal Project Officer, Children’s BureauJunedorn@acf.hhs.gov