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Solution Based Case Work Presentation

The document discusses Solution-Based Casework (SBC), a practice model developed to address shortcomings in traditional child welfare approaches. SBC focuses on understanding how problems occur in everyday life rather than just identifying problems. It emphasizes measurable safety outcomes over service compliance. Research shows SBC is associated with better outcomes on all Child and Family Services Review measures of safety, permanency and well-being.

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Abdi Mohamoud
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30 views

Solution Based Case Work Presentation

The document discusses Solution-Based Casework (SBC), a practice model developed to address shortcomings in traditional child welfare approaches. SBC focuses on understanding how problems occur in everyday life rather than just identifying problems. It emphasizes measurable safety outcomes over service compliance. Research shows SBC is associated with better outcomes on all Child and Family Services Review measures of safety, permanency and well-being.

Uploaded by

Abdi Mohamoud
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 23

“Sometimes the simple things are the most radical.

Dana N. Christensen, PhD


Model Developer SBC
Professor Emeritus
Family Therapy Program
Kent School of Social Work
University of Louisville

www.solutionbasedcasework.co
m
Why was Solution-Based Casework Developed ?

a s e d
- B
1. There were no practice models, agency “Values and Principals” weren’t

l e m
operationalized for the field

o b
2. Investigations/assessments focused primarily on identifying problems versus

P r
understanding how those problems actually occurred in everyday life
3. Problem labeling led to measuring service compliance versus actual
behavioral change to ensure safety
4. Focusing primarily on family deficit tended to underestimate family fears of
being unfairly judged, thus hampering engagement and partnership
5. Families, Caseworkers and Providers didn’t share a common road map on
skill development to create safety
Can those
What
already

?
areskills
be learned
build skills
Everyday
staff
doingand
in
that
practiced by all
Life
our staff, with
Situations
each family?
Research on SBC in Child Welfare?
SUMMARY of OUTCOMES ( 2005, 2007, 2009, 2012, 2014 )

• 30% reduction in removal of children


• Over a 100% increase in goal attainment
• 27% more workers contacted referral sources directly
• 64% increase in identified client strengths
• Families with chronic CPS involvement more likely to be successful
• Clients with Co-morbidity also achieved more goals.
• 35% reduction in recidivism referrals over 6 months
• Full implementation of SBC met all 23 CFSR review items and the
7 outcomes of safety, permanency, and well-being (As measured by the
CQI tool on 4500 cases over a 4 year period)
(Antle et al, Child Abuse and Neglect, 2012)

More information on other studies at www.solutionbasedcasework.com


Summary of Study 5
Solution-Based Casework is associated with significantly better scores on all 23 CFSR
review items and the 7 outcomes of safety, permanency, and well-being

Safety 1 & 2 Permanency 1 & 2 Well-being 1, 2, & 3


(Antle et al, Child Abuse and Neglect, 2012)
We anchor our work and our
supervision in the:

4
How does SBC
help us stay Milestones of Solution Based
focused and Casework
organized in
our work with
challenging
families and
over a number
of cases?
Milestone

Building a 1
partnership for Change:
It Changes the Meaning of
Assessment Interviewing
Stages of Family Life
So, how is SBC Assessment Different ?

• When & Where? We begin by defining problems as


difficult situations in everyday life.

• What Happens? Then we try to understand how these


situations “go down”, how they actually happen in
everyday life, and how they’ve evolved over time.

• Are there Exceptions? Then we explore “exceptions”,


i.e. situations when they are doing something similar but
it goes better (safely)
How does SBC organize
assessment ?
Family
1. What developmental stage are they in? Plan
1 2. What everyday situations does the family struggle
when it comes to caring for their children?
3. How does that situation actually happen when it
works, and when it doesn’t.

Individual
1. What personal issue(s) does one or more parent Plan

2 have that makes caring for the children difficult?


2. What is their Pattern of unwanted behavior?
3. What skills do they have about managing their
personal behavior issue?
Milestone

Planning is:
Getting Organized.
2
First Generally, then Specifically.
Why Safety Outcomes versus
compliance with services?
From the voice of our clients:

“During treatment I worked diligently to get my life in


order. I finished all my services on the case plan:
parenting, substance abuse treatment, a domestic
violence program. But the story kept changing…..even
when I had succeeded in finding employment and
housing, they still didn’t return my kids to me.”
(with permission from Ashley B., Rise parent)
Phrasing an Outcome in SBC

3 PARTS to Each Outcome


WHO will Use WHAT Plan WHY (Safety Purpose)
The family will …their plan to safely
successfully use.. discipline their children ….so that the kids learn to
or do their chores and
everyone is safe from
….their “Family Chores
physical harm
Plan” to safely discipline
their children

particularly when disciplining


Dad will successfully ….his “Keep Cool Plan” his children so that they are
use ….. to manage his temper safe from physical harm.
Milestone
3
Getting Specific:
Developing Specific
ACTION Plans
“Success seems to be connected with
action. Successful people keep moving.
They make mistakes, but they don't quit.”

― Conrad Hilton
A Family-Friendly
Interface
Mental Health: MH Clinic that Helps to Organize
Complex Issues
Work Issues: Family & Child Support
and Multiple Partners
Supervision: Family Members

School Attendance: School

Substance Use: AA Counselor

Home & Child Cleanliness: FPP


Protection issues:
Courts and P & P
What Skills are
We Talking About ?
Able to:

• Identify high risk or difficult


situations
• Identify early warning signals
• P revent high risk situations
• I nterrupt risk situations not avoided
• E scape situations not interrupted
Milestone
4
Documenting and
Celebrating:
Noticing and Anchoring
Real Change
Implementation Activities
1. Training Phase
• Leadership overview and readiness activities
• SBC Initial Training Rollout (Workers, Supervisors, Managers) 3-days
• SBC Supervisors Training (Supervisors, Managers) 2- days
2. Case Consultation Phase (4-6 weeks post initial training)
• Concept Building at Team Level (led by Supervisors)
3. Field Practice / Proficiency Phase
• SBC Skills are then practiced on the next new case
• Initial proficiency established through the SBC Certification Process
• SBC Certification uses selected work products and practice observation
• Supervisors use the SBC Implementation Website to register progress
• Case File Reviews (QA) will help establish model fidelity long term
4. Ongoing Agency Support
• SBC Collaboration of NYC Agencies (calendar of shared training)
• SBC eLearning Course
Practice Policy Specific to New York City
• Casework Contacts
• Population Served (birth to aging out)
• Outcomes Measured and How
• Staffing Requirements
• Supervision
• Individual (weekly)
• Case Record Review (monthly)
• Average length of Service (6-12 months)
“Sometimes the simple things are the most radical.”

Dana N. Christensen, PhD


Model Developer SBC
Professor Emeritus
Family Therapy Program
Kent School of Social Work
University of Louisville

www.solutionbasedcasework.co
m

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