joy barlow presentation. safeguarding in treatment services
TRANSCRIPT
![Page 1: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/1.jpg)
Safeguarding in Treatment Services:Everybody’s Business
Adfam, DDN, CRI, Indivior-Birmingham November 2015
‘Healthy Scepticism’ – What lies Beneath assessment
Joy Barlow MBE Independent Consultant
Formerly Head of STRADA
![Page 2: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/2.jpg)
![Page 3: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/3.jpg)
“ About suffering they were never wrong, the Old Masters; how well they understood its human position; how it takes place while someone else is eating or opening a window or just walking dully along;
“How everything turns away quite leisurely from the disaster” (W.H.Auden – “Musee des Beaux Arts”)
![Page 4: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/4.jpg)
Summary of Presentation • Assessment • The Challenge of engagement • Risk• Partnership• Implications for Recovery• Parenting capacity and problem substance use• Conclusions
![Page 5: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/5.jpg)
DefinitionsAssessment:
‘The act of judging or deciding the amount, value, quality, or importance of something, or the judgement or decision that is made.’
Scepticism
‘doubt as to the truth of something’
Cartesian Scepticism:
‘Certain knowledge is impossible’
![Page 6: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/6.jpg)
Assessment• What – wider than drug/alcohol misuse – strengths based – used as an
intervention
• Why – determine risk; nature of intervention
• When – single agency; multi-agency
• By whom – universal and specialist services
• How? - interagency
![Page 7: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/7.jpg)
• Incorporate “respectful uncertainty” and “compassion” with “sustained and dogged professional challenge… rigorous, systematic thinking and analysis.” (Brandon, 2007-9)
• Demonstrating empathy and acceptance are important but this needs to be balanced with healthy dose of scepticism. (C4EO)
![Page 8: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/8.jpg)
• Information of various kinds is:
• Collected• Sifted• Synthesised• Analysed
• Informed by “respectful uncertainty and a • research mentality” – (Milner & O’Byrne 1998) • In turn harnessed to a clear value base
(Milner and O’Byrne 1998)
![Page 9: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/9.jpg)
“Practitioners need to find the middle ground and not be either collusive or confrontational.” (C4EO)
Research has identified an ‘adversarial dynamic’ in which both practitioner and family avoid acceptance of responsibility for lack of change and blame each other for the failure. This results in denial, resistance and blame and a professional view of families who either ‘co-operate’ or ‘resist’. (Morrison, in Horwath, 2010)
![Page 10: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/10.jpg)
The Challenge of Engagement
Unresponsiveness to treatment/Disguised Compliance
![Page 11: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/11.jpg)
The Challenge of engagement • Consider the interaction between numerous factors, such as: • Present context, including additional stress factors • Past history – early experience of parenting and attachment, internal working
models (unconscious)• Beliefs (conscious)• Needs, especially emotional and psychological needs, feelings and desires. • Stressors and supports, including the quality of the relationship with the
worker• Expectations• Abilities (physical and cognitive)
![Page 12: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/12.jpg)
What do we mean by risk? • Physical • Emotional• One off events• Cumulative events • Insipient concerns• Significant?
![Page 13: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/13.jpg)
Management of Risk • Interventions – evidence based and methodologically sound• Ownership by ‘systems’• Understanding of common thresholds of vulnerability• Action after assessment• Partnership with parents – what does this mean?• Assessment – thresholds, integrated, timeous and on-going
![Page 14: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/14.jpg)
DefinitionsPartnership to be one of a pair on the same side of a game. A person who shares or takes part with another, especially in a business firm with shared risks and profits.
Collaboration – cooperate traitorously with an enemy, work jointly.Concise Oxford Dictionary 1992
![Page 15: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/15.jpg)
Effective partnership working requires…“respect, genuineness, empathy, humility, quiet enthusiasm, personal integrity, attunement and technical knowledge.” RiP 2010
![Page 16: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/16.jpg)
“Then you should say what you mean”, the March Hare went on. “I do” Alice hastily replied, “at least…at least I mean what I say – that’s the same thing you know”.
(Lewis Carroll(1885) ‘Alice in wonderland’ chp.7) Quoted by Reder & Duncan(2003) ‘Understanding Communication in Child Protection Networks’ Child Abuse ReviewVol.12
![Page 17: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/17.jpg)
Implications for/of the Recovery Agenda• Individualised, personalised respectful approach/treatment delivery• Hearing the voice of the person involved• Identifying signs of change in an individual as opportunity for
intervention• Assertive engagement with the ambivalent/long term support of
those ‘in recovery’• Quality of therapeutic engagement• Quality of assessment – change and advice• Family and the ‘recovery’ community!
![Page 18: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/18.jpg)
Gendered Recovery
![Page 19: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/19.jpg)
![Page 20: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/20.jpg)
![Page 21: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/21.jpg)
‘When sorrows come, they come notsingle spies, but in battalions’
Claudius in ‘Hamlet’ Act IV. Sc.V William Shakespeare
![Page 22: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/22.jpg)
Conclusions• It’s about people:
• Practice dilemmas• Reflection on and in practice• Communication• Over optimism• ‘the long haul’
![Page 23: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/23.jpg)
![Page 24: Joy Barlow presentation. Safeguarding in treatment services](https://reader035.vdocuments.mx/reader035/viewer/2022081521/58efc2e91a28ab252d8b458b/html5/thumbnails/24.jpg)
Thank you and Acknowledgements