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Wulf Livingston, Senior Lecturer in Social Work, Glyndwr University

Wulf Livingston, Senior Lecturer in Social Work, Glyndwr University. ‘Building relationships to strengthen networks – the evidence for moving away from a deficit-based and problem-focused approach to child protection work with alcohol and drugs’.

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Wulf Livingston, Senior Lecturer in Social Work, Glyndwr University

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  1. Wulf Livingston, Senior Lecturer in Social Work, Glyndwr University ‘Building relationships to strengthen networks – the evidence for moving away from a deficit-based and problem-focused approach to child protection work with alcohol and drugs’ Conwy & Denbighshire LSCB Annual Conference - March 2013 - 9.00am till 4.00pm Theme : The interface between safeguarding children, alcohol and substance misuse

  2. ContextRiskInterventions

  3. Kelly and Gary

  4. Why are we here?

  5. Fisher (Colwell) 1974 • Butler-Sloss (Cleveland) 1998 • Laming (Climbie) 2003 (Baby P) 2009 • Francis (Mid-Staffs) 2012 • Hughes 2006 –Canada • Woods Commission 2008 -Australia How many more – Inquiries?

  6. More Communication • More Information Sharing • More Training • More Procedure • More Monitoring • More Support

  7. More CommunicationMore Information SharingMore TrainingMore ProcedureMore MonitoringMore Support Why does it keep happening? What can be done differently? Perspectives on Risk Perspectives of Interventions

  8. Orientation affects perspectives/approaches • Organisation • Managers • Employees • Service Users • Carers • Public Risk Hierarchies

  9. A Control Management (with) Professional Judgment -There are increasing (evidence-based) calls for front-line professionals to be supported in and empowered to take informed risks – risk taking is necessary in the promotion of growth • (for service users and professionals) Risky Business • EVIDENCE - Barry, Bonat, Bytheway, Littlechild, Monroe, Stanford,

  10. The rhetoric of risk is used within neo-liberal risk society to mobilise fear as an emotive, defensive and strategic medium for advancing the values of safety and security. In this context it is argued that risk, driven by the politics of fear, has re-oriented (social work) practice towards managing and securing against risk as opposed to genuine attempts to respond meaningfully to need. According to this discourse (social) workers are fearful - we fear for our physical and mental well-being; we fear that we will be blamed when things go wrong; and we fear the loss of the integrity of our profession.

  11. A Control and Management • B Deficits and Strengths • -From Paternalism to PARTNERSHIP • -Department for Health's 1995 "Child Protection; Messages for Research“ • -Honest Use of Power Risky Business

  12. Signs of SAFETY • (Yes) – Identify the harms but also consider • Positions towards abuse (these are multiple) • Exceptions (when it does not happen) • Family strengths and resources • Willingness, Capacity and Confidence (in change) Evidence - Turnell

  13. Why has Mickey not been to school this Friday? How have you succeeded in getting Mickey to school four days this week?

  14. both HARM and SAFETY in our considerations Factors which make the child or young person more vulnerable to harm or safer from harm Pattern and history of harm and safety - for the child or young person; in the parents’ care of children Factors in the beliefs and relationship between the child/young person and parents/ carers which may increase the likelihood of harm or of safety Characteristics of the parents/carers and their lifestyle which effect their capacity to protect and care for their children Family and community supports and services which assist in protection and care - isolation to engagement Factors which increase the opportunity for harm or of safety for the child or young person

  15. Partnership and Strengths based approaches at heart of evidence-based interventions

  16. Whole Population Individual

  17. Jenny and (John)

  18. Service user/s and worker relationship • Families and not individuals • Peer and community support • Apply – Alcohol, Drugs, Mental Health and in some contexts Domestic Abuse Interventions – Key evidence for 3 levels/areas

  19. Common Qualities • An emphasis on relationship building • • Empathy • • Excellent communication skills, including active listening and reflection • • An empowering attitude and approach • • Non-judgemental attitudes

  20. Relationships supported by • Advice and Brief Interventions • Motivational Interviewing • -Providing information • -Helping folk to consider change • -Identifying choices and supporting decision making Evidence –Alcohol Learning Centre, Lundhal et al, Miller and Rollnick

  21. Family Interventions • How much more evidence do we need? • before • we truly implement The Children's Act 1989?

  22. Interventions that seek to work in partnership with families, using the critical moment of their children’s referral to social care as an opportunity to support parents in accentuating the positive reasons for changing their behaviours (including alcohol and other drugs) and, at the same time, highlighting the existing strengths they have.

  23. Family Interventions • Home Builders (strengths) • Option 2 (critical and crisis) • IFSS • SBNT (extending support for users) • ‘5 Step Model’ (supporting other family members) • CRAFT • DARRT

  24. Family Interventions • They help not only the user (problem) but the other family members who are the strength (safeguard) • Impact is beyond just substance use or mental health – into family functioning • Use in conjunction with ‘signs of safety’ approaches • The impossibility of assessment

  25. For Families, Peers and Communities we need to think beyond……

  26. Peers and Community • Self-Help • AA and NA • SMART, INTUITIVE • Recovery • COSA Support and/or Service Provision

  27. Peers and Community • Self-Help • Recovery • Role Models • 24/7 • Peer Challenge • Filling the voids • Safer socialisation

  28. Peers and Community • Self-Help • Recovery • Role Models • 24/7 • Peer Challenge • Filling the voids • Safer socialisation • Your role • Knowledge of • Support to participate • Facilitate

  29. Concluding Thoughts • Alcohol, Drugs, Mental Health and Violence – does harm children • Safeguarding – needs to be protection plus prevention , if not prevention plus protection • New frameworks of risk – trusting you • There are effective interventions and change is very much possible (knowledge and belief) • Relationships and Families (communities) are the solution • Who is missing –here in the room if these conversations are to meet these aspirations?

  30. Thank you for listening w.livingston@glyndwr.ac.uk 01978 293471

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