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WHO ARE WE?• Changing Trax is the overall name for two distinct programmes:
• Crisis Intervention Service ( 3 workers )
• Strengthening Families (1 co-ordinator)
• CP FIP (1 worker)• • YCAP (1 worker)
• Team Manager
• Admin Assistant
• Recruiting Volunteers
REFERRAL PROCESS• Children must be at risk of accommodation or
becoming subject to a Child Protection Plan• Help children return home once they have been
accommodated.• There is substance and/or alcohol misuse in the
family• Importance of working together- adults and
children’s services• Allocated Social worker• CP FIP work – prevent referrals to social care• YCAP working with prolific offenders
WHY WE DO IT…
RESEARCH BASE:
• Home Builder Model in USA
• Option 2 in Cardiff
• LAC and Registration figures
• Hidden Harm
WHAT WE DO….• Short term, intensive service;6 to12 weeks 24
hour seven days a week then follow up at the 4,5,6,8,10,12 month
• Family crisis
• Intervention that are strengths based
• The goal of the intervention is to remove the risks of harm to the child instead of removing the child
WHAT WE DO…
• Work in partnership with families
• Transparency
• Families are the experts
• Concentrate on behavioural change
• Focusing on strengths and addressing risks
WHAT WE DO…
• ENGAGING MEN:
• Huge resource within families
• Involving men equally in the process
• Practical engagement
• Flexibility in working hours
• In line with the Gender Equality Duty
WHAT WE DO….• Working with domestic abuse where there
is:
• Insight
• Willingness to work
• Empathy
• Responsibility for behaviour
Some of the techniques we use
Solution Focused Practice; families as experts, building on existing strengths, what you focus on grows
Motivational Interviewing; how can we help and support people change without threats etc
Cognitive Behavioural Therapy; understanding the link between thinking and behaviour
Focusing on the positives does not mean ignoring the negatives; work to address the risks
MAINTENANCE• Skills training
• Signposting
• Maintenance Meeting
• Follow Ups
• Booster Sessions
DEFINITIONS OF A CRISIS
• A crucial or decisive point or situation, a turning point
• A point in a story or drama when a conflict reaches its highest tension and must be resolved
• An emotionally stressful event or traumatic change in a person’s life.
• A time of extreme trouble or danger, often one which threatens to result in unpleasant consequences
THE FAMILY AND A CRISIS
• People are usually surprised at how much a crisis or trauma affects them. It frequently changes the way they think, their values, habits, feelings and behaviour. It influences most aspects of their life. A major event or crisis in the life of one family member always influences their family. Although it is made up of individuals, a family is a unit. What changes one member, changes the others.
UNDERSTANDING CHANGE
What does resistance look like?
• Argument: challenging what the worker has said; questioning the worker’s authority; expressing hostility towards the worker
• Interruption: talking over the worker; cutting off the worker before they’ve finished
• Denial: characterised by blaming other people; disagreeing with what has been said; making excuses; minimising the impact of their behaviour; expressing reluctance to change
What does resistance look like?
• Ignoring: person shows evidence of not following the worker’s advice
• Inattention: characterised by not answering the question; not responding at all; sidetracking onto another subject
• Paying lip service: not doing what they said they would do
Managing resistance
• Avoid arguments: arguments are counterproductive and can strengthen the other person’s original point of view.
• Resistance is a signal to try a new approach!
• Roll with resistance: perceptions can be shifted with the right approach. Invite new perspectives rather than imposing them
HOW?
• Active Listening: respond to resistance with non-resistance. Use reflection to check out what the other person means, e.g. ‘so it sounds like you are saying…’. This is less threatening
• Shift focus: don’t get stuck on a stumbling block, change tactics e.g. look at things from someone else’s perspective
• Agreement with a twist: e.g. agree with what the person is saying but look at the bigger picture, for instance the behaviour of the whole family not just the individual
HOW?
• Emphasise freedom of choice: when people feel that their freedom is being threatened they often react by asserting their liberty. Outline consequences if they continue to behave in a high risk manner
• Reframe information: Give the person a new way to look at the situation by acknowledging their views but offering a different interpretation
Socratic questions – eliciting self motivation
• Problem Recognition:
• ‘What makes you think that your drinking is a problem?’
• ‘In what ways have other people been harmed by your behaviour?’
• What might happen if you don’t change the way that you use drugs?’
Socratic Questions
• Eliciting concerns:• Why are other people concerned about
your drinking?’• Where will you be in 6 months if you carry
on hitting your partner?’• ‘How do you feel about the children crying
when you hit them?’• ‘In what ways does your drug use concern
you?’
Socratic Questions
• Eliciting Intention to Change:
• Tell me about the reasons you want to change your behaviour?’
• What makes you think that you need to change the way you communicate with your partner?’
• What would you like your relationship with your children to be like?’
Socratic Questions
• Optimism:
• ‘What makes you think that you could change the amount that you drink?’
• How will your relationship with your children improve when you stop hitting them?’
• ‘What do you think would work for you if you decided to change your drug use?’
AMBIVALENCE
• People are often ambivalent about change, which can make decisions about changing difficult to make
• Most behaviours have positive and negative aspects
• Need to explore these positives and negatives to help people become ‘unstuck’
OUTCOMES
• 70% of children living at home after intervention
More consistent attendance at drug treatment services
• Increased referrals to alcohol services• Reduction in criminal activity • Uptake of community resources• Fits in well with Signs of Safety
CHALLENGESCulture in Newcastle – risk averse,
serious case reviews
Maintenance of solution focussed approach (worker ethos, lack of resources and time)
Lapses
Dependency of some clients
Funding for two years
SUMMING UP
• Changing TraX is a service which helps prevent children becoming accommodated
• Changing TraX service helps improve family functioning.
• Changing TraX workers use a combination of techniques when working with families.
