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EANCF-CIT-DCS09044 Tuesday, December 30, 2014 Page 1 of 29 Slide 1 - Welcome Slide notes Welcome to the training on the Effects of Abuse and Neglect on Children and Families: Crisis Intervention Theory! Developed and presented by the Indiana Child Welfare Education and Training Partnership.

Slide 1 - Welcome · Slide 8 - Perception - 1 Slide notes The same or similar events may be experienced quite differently by different people. The perception of the event affects

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EANCF-CIT-DCS09044 Tuesday, December 30, 2014

Page 1 of 29

Slide 1 - Welcome

Slide notes

Welcome to the training on the Effects of Abuse and Neglect on Children and Families: Crisis Intervention Theory! Developed and presented by the Indiana Child Welfare Education and Training Partnership.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

Page 2 of 29

Slide 2 - What is Crisis Intervention Theory? - 1

Slide notes

CRISIS INTERVENTION THEORY identifies and describes normal human response to situations of overwhelming stress. It is useful in assessing and understanding the experiences of children who are removed from their families and placed into resource care. Crisis Intervention Theory also has application for the development of placement strategies to reduce the likelihood of a crisis for children who must be separated from their families.

Several theorists, including Lindemann, Parad, Caplan, Hill, and Rapaport have contributed to the development of Crisis Intervention Theory.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 3 - What is Crisis Intervention Theory? - 2

Slide notes

Crisis Intervention Theory suggests that much human behavior is directed toward maintaining physical and emotional equilibrium, or balance.

It also suggests that not all events are universally stressful. For example, the same event may cause a crisis for one family, while another family may be minimally affected, or not affected at all.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 4 - What is a Crisis?

Slide notes

For the purposes of this training, a crisis is defined as: A predictable, emotional state which results when people are subjected to overwhelming and unmanageable stresses.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 5 - Factors Impacting Crisis

Slide notes

There are three factors that impact a child’s experience during the separation and placement process. They are: Stress, Coping, and perception of the event. Let’s take a closer look at each of these individually.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

Page 6 of 29

Slide 6 - Stress

Slide notes

Stress usually involves some type of change in a person’s life circumstance. Some events are universally stressful, such as the death of a loved one, serious illness, and personal injury.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 7 - Coping

Slide notes

Coping is how a person responds, and reacts to an event.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 8 - Perception - 1

Slide notes

The same or similar events may be experienced quite differently by different people. The perception of the event affects the degree to which the event is experienced as stressful. Let’s look at the three different ways events may be interpreted by children, and the emotional response to each…

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 9 - Perception - 2

Slide notes

The event may be perceived as a loss or potential loss, and the predictable emotional response is depression. The greater the loss, the greater the depression.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 10 - Perception - 3

Slide notes

The event may be perceived as a threat or potential threat, and the predictable emotional response is anxiety. The greater the threat, the greater the anxiety.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 11 - Perception - 4

Slide notes

The event may be perceived as a challenge, and the child believes he or she is capable of avoiding a loss or

threat. The emotional response is a mobilization of energy, and activity directed toward resolving the situation.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 12 - Making the Connection - 1

Slide notes

How does this information apply to families who come in contact with DCS?

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 13 - Making the Connection - 2

Slide notes

The development of a crisis is often prevented when those involved, have a realistic, and accurate perception of the event, are low stress, and exhibit effective coping skills.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 14 - Making the Connection - 3

Slide notes

The involvement of DCS is a scary time for families. They are often not able to remain calm, and use effective coping skills.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 15 - Making the Connection - 4

Slide notes

The likelihood of a crisis increases when situations are high stress, and perceived inaccurately.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 16 - Making the Connection - 5

Slide notes

As a result, children are extremely prone to crisis during separation, and placement.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 17 - Making the Connection - 6

Slide notes

The impacts on a child throughout separation from their family include: Stress: Due to the loss of family, home, and familiarity. Ability to Cope: Children are separated from the only adults they know and rely on for support. Perception: This can be distorted, because they don’t understand the situation, causes, who to blame,

or the intended results.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 18 - Role of the FCM

Slide notes

Here are some things a Family Case Manager can do to help a family, and even prevent a crisis. In some cases: Over Communicate: Tell them everything, explain the process thoroughly, answer questions honestly. Be positive and helpful by offering services, setting up visits, and holding Child and Family Team Meetings.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 19 - Intervention Generated Risk - 1

Slide notes

We know we cause inherent harm to a child when they are removed from their home. Their perception of the events, combined with the stress of the situation, often lead to a crisis or traumatic event for the child. This inherent harm is sometimes referred to as Intervention Generated Risk.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 20 - Intervention Generated Risk - 2

Slide notes

Intervention Generated Risk must be weighed with the risk of harm to the child if they are not removed from the home. This is a difficult decision to make, and must be carefully considered in each situation.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 21 - Intervention Generated Risk - 3

Slide notes

When removal is necessary, there are some things we can do to potentially decrease trauma and Intervention Generated Risk.

Provide clear information and communication with all parties Seek out appropriate relative caregivers Provide a thorough case plan

We will talk more about Intervention Generated Risk during Case Planning and Intervening.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 22 - Trauma Informed Care

Slide notes

DCS strives to minimize trauma to children in families we come in contact with.

Awareness of the Crisis Intervention Theory and Intervention Generated Risk will help Family Case Managers understand the reaction children and families may have to our involvement.

Once a child is in care, we need to be aware of the trauma they have experienced, and work with them accordingly.

As an experienced worker, you will have the opportunity for further training on the topic of Trauma Informed Care.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 23 - Wrap-Up

Slide notes

The presence of DCS creates a stressful environment for families. Family Case Managers need to be aware of the potential risks of our involvement. When children and families are informed, involved, and treated respectfully, they are less likely to experience a crisis.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 24 - Review

Slide notes

Before you finish, take a few minutes to review what we have learned.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 25 - Review Question - 1

Slide notes

There are three factors that contribute to Crisis Intervention Theory. Review each option and select the group of factors that contribute to the Crisis Intervention Theory.

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 26 - Review Question – 2

Slide notes

What can Family Case Managers do to help prevent a crisis for children and families?

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 27 - Review Question - 3

Slide notes

What do we call the inherent harm to a child as a result of removal from the home?

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 28 - Review Question - 4

Slide notes

The course available to experienced Family Case Managers, focused on proper case management of children who have experienced trauma is called:

EANCF-CIT-DCS09044 Tuesday, December 30, 2014

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Slide 29 - Thank You!

Slide notes

Thank you for taking the training on the Effects of Abuse and Neglect on Children and Families: Crisis Intervention Theory! ELM will reflect your completion of this training within 24-48 hours. Developed and presented by the Child Welfare Education and Training Partnership.