Multidisciplinary Teams
Posted: Tue Jun 27, 2006 9:04 am
Multidisciplinary Teams
The Child Protection Teams: Defenses for the Falsely Accused
LeRoy Schultz*
Abstract: Teams are a medical concept, aimed at healing, not an evidence gathering process that will be directly applicable to a court's requirements. Questions about team processes and team findings are suggested for both lawyers and expert witnesses, and are designed to carefully examine a team's proceedings to assess their weight and reliability.
http://www.ipt-forensics.com/journal/volume1/j1_4_3.htm
"There are four types of teams. These are (1) the hospital-based team, (2) the state consultation team, (3) the rural team, and (4) the treatment team."
- - - - - - -
Crisis Intervention in Child Abuse and Neglect
U.S. Department of Health and Human Services
Administration for Children and Families
Administration on Children, Youth and Families
National Center on Child Abuse and Neglect
This manual was developed and produced by Circle Solutions, Inc., McLean, VA,
http://66.218.69.11/search/cache?p=mult ... 1&.intl=us
TABLE OF CONTENTS
Page
ATTRIBUTION ............................................................................................................................... vii
PREFACE ....................................................................................................................................... ix
ACKNOWLEDGMENTS ................................................................................................................... xi
OVERVIEW OF THE MANUAL ........................................................................................................1
UNDERSTANDING CRISIS ...............................................................................................................3
Introduction .................................................................................................................................3
Definition of Crisis .........................................................................................................................3
Elements of Crises .........................................................................................................................3
Stress-Producing Situations ........................................................................................................3
Difficulties in Coping .................................................................................................................4
Parents with Chronic Coping Problems........................................................................................4
Timing of Intervention ...............................................................................................................6
The Phases of Crisis ......................................................................................................................6
Client Feelings During Crisis ...........................................................................................................7
Psychological Effects of Crisis ........................................................................................................8
Disorganized Thinking ...............................................................................................................8
Preoccupation With Insignificant Activities...................................................................................8
Expression of Hostility and Emotional Distancing ..........................................................................9
Impulsiveness ...........................................................................................................................9
Dependence.............................................................................................................................9
Threat to Identity ......................................................................................................................9
Summary................................................................................................................................... 10
CRISIS INTERVENTION GOALS AND STEPS ................................................................................ 11
Introduction ............................................................................................................................... 11
The Scope and Goals of Crisis Intervention .................................................................................... 11
Six Goals of Crisis Treatment ................................................................................................... 11
A Nine-Step Crisis Intervention Model............................................................................................ 12
Crisis Intervention Teams ............................................................................................................. 13
Investigation ........................................................................................................................... 13
Psychological First Aid ............................................................................................................ 14
Rehabilitative Crisis Intervention................................................................................................ 14
Overview of Teams Related to CPS ............................................................................................... 14
Specialized, Multidisciplinary Teams .............................................................................................. 15
Crisis as an Opportunity To Initiate Change .................................................................................... 15
Crisis Intervention as a Planned Response....................................................................................... 16
Presence Until Stress Is Reduced .............................................................................................. 17
Summary................................................................................................................................... 17
CRISIS INTERVENTION ASSESSMENT ......................................................................................... 18
Introduction ............................................................................................................................... 18
Total Family Involvement ............................................................................................................. 18
Assessment................................................................................................................................ 19
Making the Initial Contact......................................................................................................... 19
Identifying the Precipitating Event ............................................................................................. 19
Observing Family Interactions and Conditions ............................................................................ 20
Determining Family Needs........................................................................................................ 20
Assessing Risk ............................................................................................................................ 21
Screening Instruments.................................................................................................................. 22
Assessment of Other Special Issues ............................................................................................... 23
Suicide Potential...................................................................................................................... 23
Post-Traumatic Stress Disorder ................................................................................................ 23
Sex Offenders’ Ability To Change............................................................................................. 24
When Assessment Indicates a Lack of Safety for Children........................................................... 24
Summary................................................................................................................................... 25
CRISIS INTERVENTION TREATMENT APPROACHES
AND TECHNIQUES ......................................................................................................................... 26
Introduction ............................................................................................................................... 26
Eclectic Knowledge Base.............................................................................................................. 26
Ability To Focus Self and Clients................................................................................................... 26
Approaches ................................................................................................................................ 27
A “Community Systems” and “Use of Community Resources” Approach...................................... 27
Multiple Impact or Multimodal Approach ................................................................................... 28
Cognitive Behavioral Approach.................................................................................................. 29
Task-Centered Approach.......................................................................................................... 29
The Family Treatment Approach............................................................................................... 30
The Eclectic Team Approach.................................................................................................... 30
Techniques ................................................................................................................................ 31
Use of Humor ......................................................................................................................... 31
Generalization ......................................................................................................................... 31
Self-Disclosure and Storytelling ................................................................................................ 31
Setting Limits......................................................................................................................... 31
Instilling Hope......................................................................................................................... 32
Working Through Resistance.................................................................................................... 32
Summary................................................................................................................................... 35
UNDERSTANDING SPECIAL FAMILY SITUATIONS ..................................................................... 36
Introduction ............................................................................................................................... 36
Marital Conflict........................................................................................................................... 36
Step-parenting Conflict................................................................................................................. 36
Unprepared for Parenthood ........................................................................................................... 37
Substance Abuse ......................................................................................................................... 37
Spouse Abuse............................................................................................................................. 38
Mental Illness .............................................................................................................................. 39
Dual Diagnoses........................................................................................................................... 40
Poverty...................................................................................................................................... 40
Summary................................................................................................................................... 40
TERMINATION AND FOLLOW-UP SERVICES .............................................................................. 41
Introduction ............................................................................................................................... 41
Establish Limits From the Beginning............................................................................................... 41
Teach Problem-Solving ................................................................................................................ 41
Encourage Independence.............................................................................................................. 41
Review Progress......................................................................................................................... 41
Establish a Plan for Follow-up....................................................................................................... 42
Evaluate Outcomes ...................................................................................................................... 42
THE CRISIS INTERVENTION WORKER ........................................................................................ 43
Introduction ............................................................................................................................... 43
Vulnerability and Safety ................................................................................................................ 43
Psychological State and Feelings.................................................................................................... 44
Preventing Burn-out ..................................................................................................................... 44
Supervision ................................................................................................................................ 45
Training Requirements.................................................................................................................. 46
Summary................................................................................................................................... 46
FAMILY-CENTERED CRISIS RESPONSE MODELS ....................................................................... 47
Introduction ............................................................................................................................... 47
Homebuilders .............................................................................................................................. 47
Families, Inc. .............................................................................................................................. 48
Intensive Family Services (IFS)..................................................................................................... 49
The Family Crisis Program ........................................................................................................... 50
The Interagency Sexual Abuse Council........................................................................................... 50
Summary................................................................................................................................... 51
SUMMARY .................................................................................................................................... 52
When Crisis Occurs..................................................................................................................... 52
Anticipating Crises and Planning Proactively ................................................................................... 52
NOTES ........................................................................................................................................... 54
GLOSSARY OF TERMS ................................................................................................................. 63
SELECTED BIBLIOGRAPHY ......................................................................................................... 65
OTHER RESOURCES ..................................................................................................................... 67
The Child Protection Teams: Defenses for the Falsely Accused
LeRoy Schultz*
Abstract: Teams are a medical concept, aimed at healing, not an evidence gathering process that will be directly applicable to a court's requirements. Questions about team processes and team findings are suggested for both lawyers and expert witnesses, and are designed to carefully examine a team's proceedings to assess their weight and reliability.
http://www.ipt-forensics.com/journal/volume1/j1_4_3.htm
"There are four types of teams. These are (1) the hospital-based team, (2) the state consultation team, (3) the rural team, and (4) the treatment team."
- - - - - - -
Crisis Intervention in Child Abuse and Neglect
U.S. Department of Health and Human Services
Administration for Children and Families
Administration on Children, Youth and Families
National Center on Child Abuse and Neglect
This manual was developed and produced by Circle Solutions, Inc., McLean, VA,
http://66.218.69.11/search/cache?p=mult ... 1&.intl=us
TABLE OF CONTENTS
Page
ATTRIBUTION ............................................................................................................................... vii
PREFACE ....................................................................................................................................... ix
ACKNOWLEDGMENTS ................................................................................................................... xi
OVERVIEW OF THE MANUAL ........................................................................................................1
UNDERSTANDING CRISIS ...............................................................................................................3
Introduction .................................................................................................................................3
Definition of Crisis .........................................................................................................................3
Elements of Crises .........................................................................................................................3
Stress-Producing Situations ........................................................................................................3
Difficulties in Coping .................................................................................................................4
Parents with Chronic Coping Problems........................................................................................4
Timing of Intervention ...............................................................................................................6
The Phases of Crisis ......................................................................................................................6
Client Feelings During Crisis ...........................................................................................................7
Psychological Effects of Crisis ........................................................................................................8
Disorganized Thinking ...............................................................................................................8
Preoccupation With Insignificant Activities...................................................................................8
Expression of Hostility and Emotional Distancing ..........................................................................9
Impulsiveness ...........................................................................................................................9
Dependence.............................................................................................................................9
Threat to Identity ......................................................................................................................9
Summary................................................................................................................................... 10
CRISIS INTERVENTION GOALS AND STEPS ................................................................................ 11
Introduction ............................................................................................................................... 11
The Scope and Goals of Crisis Intervention .................................................................................... 11
Six Goals of Crisis Treatment ................................................................................................... 11
A Nine-Step Crisis Intervention Model............................................................................................ 12
Crisis Intervention Teams ............................................................................................................. 13
Investigation ........................................................................................................................... 13
Psychological First Aid ............................................................................................................ 14
Rehabilitative Crisis Intervention................................................................................................ 14
Overview of Teams Related to CPS ............................................................................................... 14
Specialized, Multidisciplinary Teams .............................................................................................. 15
Crisis as an Opportunity To Initiate Change .................................................................................... 15
Crisis Intervention as a Planned Response....................................................................................... 16
Presence Until Stress Is Reduced .............................................................................................. 17
Summary................................................................................................................................... 17
CRISIS INTERVENTION ASSESSMENT ......................................................................................... 18
Introduction ............................................................................................................................... 18
Total Family Involvement ............................................................................................................. 18
Assessment................................................................................................................................ 19
Making the Initial Contact......................................................................................................... 19
Identifying the Precipitating Event ............................................................................................. 19
Observing Family Interactions and Conditions ............................................................................ 20
Determining Family Needs........................................................................................................ 20
Assessing Risk ............................................................................................................................ 21
Screening Instruments.................................................................................................................. 22
Assessment of Other Special Issues ............................................................................................... 23
Suicide Potential...................................................................................................................... 23
Post-Traumatic Stress Disorder ................................................................................................ 23
Sex Offenders’ Ability To Change............................................................................................. 24
When Assessment Indicates a Lack of Safety for Children........................................................... 24
Summary................................................................................................................................... 25
CRISIS INTERVENTION TREATMENT APPROACHES
AND TECHNIQUES ......................................................................................................................... 26
Introduction ............................................................................................................................... 26
Eclectic Knowledge Base.............................................................................................................. 26
Ability To Focus Self and Clients................................................................................................... 26
Approaches ................................................................................................................................ 27
A “Community Systems” and “Use of Community Resources” Approach...................................... 27
Multiple Impact or Multimodal Approach ................................................................................... 28
Cognitive Behavioral Approach.................................................................................................. 29
Task-Centered Approach.......................................................................................................... 29
The Family Treatment Approach............................................................................................... 30
The Eclectic Team Approach.................................................................................................... 30
Techniques ................................................................................................................................ 31
Use of Humor ......................................................................................................................... 31
Generalization ......................................................................................................................... 31
Self-Disclosure and Storytelling ................................................................................................ 31
Setting Limits......................................................................................................................... 31
Instilling Hope......................................................................................................................... 32
Working Through Resistance.................................................................................................... 32
Summary................................................................................................................................... 35
UNDERSTANDING SPECIAL FAMILY SITUATIONS ..................................................................... 36
Introduction ............................................................................................................................... 36
Marital Conflict........................................................................................................................... 36
Step-parenting Conflict................................................................................................................. 36
Unprepared for Parenthood ........................................................................................................... 37
Substance Abuse ......................................................................................................................... 37
Spouse Abuse............................................................................................................................. 38
Mental Illness .............................................................................................................................. 39
Dual Diagnoses........................................................................................................................... 40
Poverty...................................................................................................................................... 40
Summary................................................................................................................................... 40
TERMINATION AND FOLLOW-UP SERVICES .............................................................................. 41
Introduction ............................................................................................................................... 41
Establish Limits From the Beginning............................................................................................... 41
Teach Problem-Solving ................................................................................................................ 41
Encourage Independence.............................................................................................................. 41
Review Progress......................................................................................................................... 41
Establish a Plan for Follow-up....................................................................................................... 42
Evaluate Outcomes ...................................................................................................................... 42
THE CRISIS INTERVENTION WORKER ........................................................................................ 43
Introduction ............................................................................................................................... 43
Vulnerability and Safety ................................................................................................................ 43
Psychological State and Feelings.................................................................................................... 44
Preventing Burn-out ..................................................................................................................... 44
Supervision ................................................................................................................................ 45
Training Requirements.................................................................................................................. 46
Summary................................................................................................................................... 46
FAMILY-CENTERED CRISIS RESPONSE MODELS ....................................................................... 47
Introduction ............................................................................................................................... 47
Homebuilders .............................................................................................................................. 47
Families, Inc. .............................................................................................................................. 48
Intensive Family Services (IFS)..................................................................................................... 49
The Family Crisis Program ........................................................................................................... 50
The Interagency Sexual Abuse Council........................................................................................... 50
Summary................................................................................................................................... 51
SUMMARY .................................................................................................................................... 52
When Crisis Occurs..................................................................................................................... 52
Anticipating Crises and Planning Proactively ................................................................................... 52
NOTES ........................................................................................................................................... 54
GLOSSARY OF TERMS ................................................................................................................. 63
SELECTED BIBLIOGRAPHY ......................................................................................................... 65
OTHER RESOURCES ..................................................................................................................... 67