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Sunday, December 18, 2016

Online Professional Development: Vicarious Trauma & Compassion Fatigue & Solution Focused Therapy

School of Social Work Continuing Education

Dalhousie University 
The Heart of Helping: Understanding Vicarious Trauma & Compassion Fatigue
with Lynda Monk, MSW, RSW
February 27 - March 26, 2017 | Online
Vicarious trauma and compassion fatigue are common occupational hazards for social workers, counsellors, healthcare professionals, educators, and others in high-care fields. This 4-week online course is designed to teach those in the helping, human service and healthcare professions about these work-related risks that can result from the very nature of the work itself. You will gain a deeper understanding of vicarious trauma and compassion fatigue, what they are, how they manifest and how to prevent and/or intervene with the negative effects that can flow from the heart of helping. Discover how to balance caring for yourself while caring for others, in order to stay healthy while you make a difference.

Early bird deadline is January 16, 2017.

To register for this course, please email your completed registration form to coned@dal.ca, or fax to 902.494.6709.
More Information
Solution Focused Therapy
with Jill Ceccolini, MSW, RSW and Barry McClatchey, MSW, RSW
February 6 - March 5, 2017 | Online
Solution focused practice is characterized by the use of respectful curiosity in learning about what is important to clients and in the co-construction of their preferred future. Change is viewed as constant and inevitable and clients are regarded as having the necessary expertise about their own lives to create useful change. There is a strong emphasis on the use of the client’s language in solution focused work, as opposed to the dominant “expert” language embedded in the traditions of the helping professions. As such, solution focused practice can be a useful approach in engaging people across the broad spectrum of culture, race, and gender. The facilitators use a variety of methods to invite participant learning, including case examples, small group work, video examples, and exercises designed to provide experiential learning.

Early bird deadline is December 23, 2016.

To register for this course, please email your completed registration form to coned@dal.ca, or fax to 902.494.6709.

More Information 
Posted by Mental Health BC at 6:31 PM No comments:
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Saturday, December 17, 2016

Innovation: Social worker provides help at the local library

Not just books — Kitchener Public Library puts a social worker on the shelf

KPL’s latest addition lends patrons advice, guidance and a sympathetic ear

ByCatherine Thompson (Dec 15, 2016). Waterloo Region Record. Retrieved from: http://www.therecord.com/news-story/7022914-not-just-books-kitchener-public-library-puts-a-social-worker-on-the-shelf/
KITCHENER — The library has always loaned books, videos and even CDs that offer guidance and advice on everything from how to manage money to how to lead a healthier lifestyle.
Now, the Kitchener Public Library's Central branch is offering a little bit more: a trained social worker who can give advice and guidance, offer a friendly presence and a sympathetic ear.
Kym Bohachewski admits many of her friends and colleagues were skeptical when she said she would do a work placement at the library as part of her requirements for a master in social work at Wilfrid Laurier University.
It's actually a logical fit, said Laura Reed, the library's manager of children and teen services. "We're a public building and we see a good cross-section of society," Reed said. "Our role is to make sure people can find what they need."
People come to the library for all kinds of things: to access computers for free, to get help filling out applications or e-documents, to search for housing or to get resources if English isn't their first language. A social worker could help any of those clients, Reed said.
"People find their way here not because it's a library but because it's a warm place, it's a welcoming place, it's a place to bring your kids to read a book," Reed said. "Over the years we've always gotten questions around, 'I have nowhere to stay tonight' or 'Where can I get a hot meal?' We'll be able to not just answer those questions but be able to add some support."
Social workers have in-depth knowledge about what's available to help people in the community, and they have skills in helping figure out what they need, Bohachewski said. "I've got the time to sit down and talk with somebody who maybe isn't quite sure what's available or what they need."
Her placement, which runs three days a week until April, includes training library staff in how to recognize when a library customer may need help with a bigger issue; outreach with community agencies to help the library figure out how it can best meet the needs of clients such as women staying at a shelter, or homeless men. 
That work could include helping people sign up for library cards, or even offering library tours for groups from theHouse of Friendship or OneROOF youth agency, or even organizing pop-up libraries at community agencies.
Having social workers at the library is still fairly unusual, but is something that libraries across North America are trying. The first was probably in San Francisco in 2009, while Edmonton Public Library was the first Canadian library to bring in a social worker in 2011, Bohachewski said.
"Libraries are increasingly a hub for the community, meeting different community needs," said Nancy Schwindt, the field education co-ordinator at Laurier who helped set up the placement. "This is just an extension of work we do with, for example, community centres, with drop-in centres, all those sorts of agencies."
cthompson@therecord.com , Twitter: @ThompsonRecord
Posted by Mental Health BC at 6:12 PM No comments:
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Tuesday, December 13, 2016

Conference - Trauma and the Family - Vancouver

Trauma and the Family: Widening the Lens

A conference sponsored by Living Systems Counselling.

Date: March 3 & 4, 2017 

Location: SFU Harbour Centre, Downtown Vancouver

Description: Over the last many years, more and more symptomatic conditions and behaviours have been attributed to a traumatic experience or event. While this conference will review some of the current ways in which trauma therapy is conceived and approached, it will also broaden the lens to consider how the relationship process in the family contributes to the overall outcome for the symptomatic individual. 

Presenters: 
  • Dr. Daniel Papero presents the assessment and treatment of trauma from a systems perspective. 
  • Dr. Walter Smith presents evidence based ways of responding to child trauma and several clinical cases will be presented by clinicians who follow a systems approach in the treatment of trauma.
View our Conference Brochure. 

For more information or to register on-line:
please visit www.livingsystems.ca or contact info@livingsystems.ca 
or the Registrar at 604 833 8791. 
Posted by Mental Health BC at 8:02 PM No comments:
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Professional Development - UBC Continuing Studies Health and Counselling Courses

UBC Continuing Studies

New Health and Counselling Workshops and Courses

Burnout Prevention: Understanding Vicarious Trauma and Compassion Fatigue (Online)
Facilitator: Lynda Monk, MSW, RSW; Jan 24-Feb 20, $395
Journaling for Self-Care and Wellness (Online)
Facilitator: Lynda Monk, MSW, RSW;
Jan 31-Feb 27, $395

Motivational Interviewing for Helping Professionals: Virtual Learning Community (Online)
Facilitator: Cristine Urquhart, MSW, RSW; Feb 17-Mar 16, $425
Recognizing Parental Alienation in High-Conflict Divorce – Level 1
Facilitator: Terri Rypkema, RCC; Jan 13 or Mar 10, $295
Motivational Interviewing for Helping Professionals – Introduction
Facilitator: Cristine Urqhuart, MSW, RSW; Jan 20 & 28, $425; Mar 16-17 (UBC Okanagan), $550
Cognitive Behavioural Therapy for Helping Professionals – Introduction
Facilitator: Heather Fulton, PhD, R.Psych; Feb 18, $245

15% discount for registrations of three or more people from the same organization.

In-class courses are at UBC Robson Square, Downtown Vancouver or at the UBC Point Grey campus.

Register online or telephone 604-822-1444.
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Thursday, November 17, 2016

Critical Analysis: BC's child welfare system continues staffing and existential crisis

Child protection in B.C.: Stop policing First Nations families and build community support

Portia Larlee (November 14th, 2016). The Georgia Straight. Retrieved from: http://www.straight.com/news/827646/child-protection-bc-stop-policing-first-nations-families-and-build-community-support

After one-and-a-half years, I left my job as a child-protection social worker in northern British Columbia at the province’s Ministry of Children and Family Development.

I left an organization in the midst of both a staffing and an existential crisis.

The two crises are connected. In my understaffed office, we did not have time to support families in a meaningful way. Instead, we policed them. I arrived on strangers’ doorsteps, entered their homes (at times without consent), pointed out what parents were doing wrong, and tried to come up with what often felt like hollow “band-aid” solutions.

From a parent’s perspective, meeting with child-protection workers has been described as similar to being measured against a checklist, with the correct answers only available to the social worker. This bombardment of questions included: “Do you drink alcohol?” and “How do you handle disagreements in your family?”

I rarely had time to build trust with families before these meetings, and they were often understandably hesitant, confused, or angry. I felt pressured to use parents’ anger against them. This anger and frustration was another check mark on the checklist, one of the reasons they were a potential risk to their children.

Like most child-protection social workers in Canada, I am a white woman. So are most of my former coworkers. The families I worked with during my time at MCFD were Indigenous, save for about three who were white.

University of Victoria professor of social work Susan Strega notes that poverty and race make for a “perfect child-welfare storm”. She explains that if you have children while being poor or as a person of colour, the state will likely insert itself in your life.

I expected this systemic racism. Naively, I didn’t expect to be blocked when trying to address it.

Shortly after I arrived in Fort St. James, three of my fellow social workers left their positions, leaving four of us behind. Understaffing meant delays in child placement. There were not enough of us to support families and build relationships. Until my exit interview, I never heard my manager address understaffing and what it meant for us.

When he did acknowledge understaffing, he outlined a vision for the work that was unfamiliar to me.  “Child-protection work” is distinct from “social work”, he said, and when child-protection workers provide supportive services, they tend to stray from MCFD’s mandate.

This was the first I had heard of this. If child protection was being reduced to policing, I had assumed it was because of forces beyond the ministry’s control. I never thought it might be intentional.

I had eight supervisors during the year-and-a-half  I was in my position. Some were cognizant of the ongoing systemic oppression and racism faced by Indigenous families.  Whenever possible, they placed children with family rather than in foster homes. They avoided removing children through gathering community members to come up with creative ways to support a family. They liaised with the First Nations bands and wielded the violent power of state intervention in families with caution and understanding, which is especially important in a context of historical and ongoing mass removal of Indigenous children.

Those supervisors were acting as social workers. I had other supervisors who acted more like cops. One told me I needed to be “more confrontational” in my work with families and blamed Indigenous communities and families for their own poverty and disenfranchisement. They called for homes to be searched, and for mandatory drug testing.

So which is it? Are child-protection social workers meant to support families or police them? The answer to this question needs to be made clear to workers and families alike.

It seems obvious to me that child-welfare structures will be sustainable and effective if they are localized and built by and for the community. Communities need the space, resources, and support to rebuild their own mechanisms for ensuring safety. For some Indigenous communities in B.C. this has meant a return to tradition.

In the meantime, while outsiders such as myself continue to fill these roles, there needs to be a more holistic and family-focussed approach to child welfare. Only then will we be able to correct the stark overrepresentation of Indigenous children in the mainstream child-welfare system.

Therein lies the bind: should we bother focusing on staffing a system in crisis? Or should we shift our attention, instead, to building new community-based organizations to support families?

Either way, management should stop leaving frontline workers in the dark. I say do this soon, before there are none left.

Portia Larlee is a former child-protection social worker in B.C. who recently quit her job.
Posted by Mental Health BC at 11:06 AM No comments:
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Sunday, November 6, 2016

Media: UK Sitcom about what its like to be a social worker: Damned

Damned: Jo Brand's new sitcom finds the humour in social work

Channel 4 comedy aims to portray social workers in a refreshing and realistic way, although the writers admit some scenarios had to be toned down.

Purvis, K. (2016). Retrieved from: https://www.theguardian.com/social-care-network/2016/sep/23/damned-jo-brands-new-sitcom-finds-the-humour-in-social-work

re social workers damned if they do, damned if they don’t? So suggests the title of a new Channel 4 sitcom that documents the ups and downs of a group of social workers.

Jo Brand and Alan Davies play Rose and Al, slightly jaded colleagues in the children’s services department at a local authority, struggling to deal with various personal issues – a cheating (soon-to-be ex) husband and a demanding girlfriend respectively – as well as their own exhausting caseloads.

There’s also Nitin, the constant target of Rose and Al’s teasing, and Martin, who’s been signed off sick for months but still comes into the office with a fake work pass to support his overstretched colleagues.

Damned was first broadcast in 2014 as a one-episode pilot for Sky and a six-part series was later commissioned by Channel 4. Inspiration for the series – written by Brand, Morwenna Banks, who starred in Skins, and Will Smith, a writer on The Thick of It – partly came from Brand’s mother, a former social worker.

“She’s 82 now but she still hasn’t quite managed to retire,” says Brand. “She’s like an out-of-control, ancient revolutionary.”

Brand says she has long hoped to make social workers “seem like real people” and address the negative stereotypes of “middle-class, tweedy women” and “hippy do-gooders”.

“Psychiatrists have a similar job to do; they have to predict how much harm someone is going to cause themselves or other people. But when they make a mistake ... they aren’t castigated in the same way,” says Brand. “When a social worker does a good thing, how do you ever find that out? You never do because it’s classified information. The only thing you ever find out is when it goes wrong.”

Comedy, says Brand, seemed the best medium to redress the balance. “It enables you to get across a message about something that’s actually really awful. I know from when I was a nurse that humour relaxes people,” she says. “It’s either that or smoking 60 fags a day.”

But Damned does have its serious moments and the writers were careful to strike the balance between humour and sobriety. “It was difficult to mix it, but that’s the piece we wanted to write,” says Banks. “We knew there’d be moments when it would be a bit shocking, as well as moments when it would be funny.”

For the most part, those humorous moments are reserved for scenes in the office or for glimpses into Rose and Al’s rather chaotic personal lives. The scenes where we see the vulnerability of the people Rose and Al work to help are some of the shows most poignant.

In the first couple of episodes, for example, Rose visits an old school friend struggling to look after her critically ill husband and grandchildren while her daughter is in rehab. And Al grows concerned about the parental capabilities of a couple with learning difficulties after he tries to convince them their baby is too young to eat chocolate ice-cream.

But any of the cases depicted in Damned are toned down versions of those the writers came across in their research. “We spoke to social workers and asked: ‘So, would this happen or would that happen?’ and they would come up with five things that were way more extreme,” says Banks.

“We’ve made it nicer,” says Brand.

As well as depicting some true-to-life cases, the writers wanted to the show to be topical, fair and representative of the realities of the sector.

“There’s a moment where Ingrid goes off [to have an operation] and Al is told that he will handle her caseload on top of his,” says Davies. Meanwhile Denise, the terrifying departmental manager, deals with budget cut after budget cut and secretly recruits Nitin to spy on his colleagues and report back to her with his verdict on who should be fired. “The reality of what’s going on is in there,” says Brand. “I wouldn’t say it’s a direct political message, although I have never voted Tory.”

Damned was filmed in an actual council’s office. “It was nice to mingle in the kitchen with the planning department from next door and feel you were part of a real place,” says Davies. “It felt like the right thing to do.”

The cast filmed during the EU referendum campaign in a Hertfordshire town where, Brand says, 70% of people voted to leave. “I had a row with a few people. I didn’t say any nasty words or anything but there was a bit of tension,” she says.

For Davies, the post-referendum resignation of UK prime minister David Cameron brought home the resilience and commitment of social workers to return to work every day. “I don’t want to be flippant, but none of our characters can just resign the next morning if it hasn’t gone well the day before,” he says. “They feel responsible for the people in their care and for the choices and decisions they make.”

Brand hopes that real social workers think the show is funny, and that the characters are nice. She says: “I hope they think our characters are kind, because I think that’s what social workers are.”

Damned starts on Channel 4 on 27 September

Join the Social Care Network to read more pieces like this. Follow us on Twitter 

(@GdnSocialCare) and like us on Facebook to keep up with the latest social care news and views.

  • This article was amended on 26 September 2016. An earlier version said that the series was filmed in a council office and social workers had to move to an adjacent office during filming. While filming did take place in council offices, no social workers were moved.
Videos:

Playhouse Presents: Damned - Trailer. (June 9, 2014). Retrieved from: https://www.youtube.com/watch?v=Xpd9jbddr_k.

Playhouse Presents: Damned.  Short. Sky Arts. Retrieved from: http://www.asset1.net/show/playhouse-presents/video/damned

The Awful Office Meeting | Damned. (Oct 6, 2016). Retrieved from: https://www.youtube.com/watch?v=bDzTAhXV9UM

The Basic Rule For School Teachers | Damned. (Oct 6, 2016). Retrieved from: https://www.youtube.com/watch?v=MdtWJ7FCSDw

Getting Insulted By A Kid | Damned. (Oct 19, 2016). Retrieved from: https://www.youtube.com/watch?v=VUMsSrhJ0ks

Stressful Morning School Routines And Watering Fake Plants | Damned. ( Nov 1, 2016). Retrieved from: https://www.youtube.com/watch?v=vLyKObQBiU0

Posted by Mental Health BC at 6:41 PM No comments:
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Celebrating Social Work: Social workers do standup: ‘A good laugh makes you feel better’

Social workers do standup: ‘A good laugh makes you feel better’

In a climate of cuts and low morale, social workers Debbie Greaves and Jim McGrath have turned to standup comedy to help relieve the pressure
Miller, N. (2016). The Guardian. Retrieved from: https://www.theguardian.com/society/2016/nov/01/standup-comedy-social-work-cuts.

If you spend your days dealing with family crisis conferences, child protection hearings or tense mediation meetings, you might fancy some cheering up. Step forward “Debstar” and “Jim McGraw” – the stage names of Debbie Greaves and Jim McGrath, two social workers who are turning the stuff of their working lives into standup comedy.

“We’ve got so many stories people can relate to,” says McGrath, before a sold-out show in Brighton. “People thank us afterwards, saying ‘I really needed that – I was having the worst week’,” adds Greaves, who is a firm believer in the power of laughter to help her fellow professionals maintain a healthy perspective and build resilience in difficult times.

“Putting the social into social work” is the battle cry they carry around Britain on regular tours from their Northern Ireland base, juggling annual leave and work schedules. Greaves quickly scotches any idea that using stage names is about keeping their comedy activities secret. “I just like a distinction between the professional me and the comedian.” She points out, too, that her bosses have seen her in comedy action.

“They know I won’t go over the line that will land me in the deregistration zone!”

Both comedians can draw on decades of experience for material. Now 40, Australian Greaves has spent 20 years working in children’s services in her homeland and around the UK, while 54-year-old McGrath has notched up 30 years across youth offending, child protection and neighbourhood dispute resolution.

It's cathartic doing comedy. You get to rant and rave about how rubbish things are

McGrath began performing comedy at a Dublin pub open-mic night a few years ago, while Greaves’ first taste of standup came in 2013 when she did an impromptu 10-minute slot to add a bit of fun to her local social work awards ceremony. McGrath then made contact after hearing he wasn’t alone in the world of social work standup.

“Changes in social work have had a huge impact on morale, compounded by cutbacks and ongoing pressures,” says Greaves. “Comedy should hold up a mirror to life, deconstructing idiosyncrasies to get people to laugh at the system.” And while their profession provides the backbone of their acts, broader material is woven in. “What’s happening in the news affects us as social workers, too – things like the refugee crisis,” points out McGrath.

Any talk of social work and comedy naturally brings up Guardian cartoon strip and Radio 4 spin-off Clare in the Community (see below) and the Channel 4 sitcom Damned with Jo Brand. “Anything that gets the general public talking about social work and the complexities of the job is to be invited, as long as it reflects positively on both social workers and service users – we’ve had too much ‘poverty porn’ on our TVs and condemning of social workers,” says Greaves. She speaks of being angry at “the same old churned-out stereotype of social workers in crisis and disarray ... We’ve all been in situations that have been funny, but there is a fine balance between laughing at the situation and making fun of the person.”

Greaves speaks as someone who has experienced social work practice from both sides – client as well as provider. Raised in foster care in Australia, she claims a (mostly) good experience of social workers. Yet that didn’t stop her feeling the stigma attached to being in care – and getting up on stage, she says, has helped her face inner demons. “It’s cathartic doing standup as you get to rant and rave about how rubbish things are.”

McGrath admits to using comedy to deal with stresses, such as the perils of working in Northern Ireland during the Troubles. “Social workers were expected to go into areas without police back-up because of the security threat [to the police] – but we did it because we had to,” he says. “That said, it’s still more frightening to stand on stage and expose yourself to the judgment of your peers.”

Greaves and McGrath donate £1 from every ticket to the Social Workers Benevolent Trust, which has seen increasing demand from members of the profession seeking help for problems worsened by a difficult political climate and increasing lack of job security. They are also now using their comedic skills as a creative way to work with client groups, particularly to build confidence – McGrath with recovering drug addicts and Greaves with a learning disabilities group.

So what did the punters think after the Brighton gig? “I thought it was good to find humour about the work and the office politics; people in our profession need to be very ‘PC’ when working, but we also need to let ‘real’ feelings out somewhere,” said one fellow social worker.

Greaves sums up their approach to comedy simply. “We’ll have a good old laugh and a whinge,” she says, “and then go away feeling just a little bit better about things.”

For details of future comedy dates go to the duo’s Facebook page

The Awful Office Meeting | Damned


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Clinical: Trauma-Informed Care for Veterans

Trauma-Informed Care for Veterans

One way to reduce VA wait times is to train physicians and staff to think like social workers.

Hendricks Thomas, K. and Plummer Taylor, S. (2016). Social Work Helper. Retrieved from: https://www.socialworkhelper.com/2016/11/01/trauma-informed-care-veterans/

An increase in trauma-informed care leads to more efficient and effective response at every level of patient care, and thus, a reduction of wait times at VA Hospitals.

Rebecca served nine years as a Marine Officer, and had relied upon the Veterans Administration Medical Center (VAMC) for her health care since departing active duty.  She was a devoted runner trying to get back in shape, but a few months into this well-intentioned effort she found herself calling the VAMC appointment line.  Her Achilles tendon was swollen and painful, and she found herself limping through busy days. The first call to the appointment line resulted in a referral, a message taken, and the promise of a call back. The nurse who called back wasn’t authorized to book anything beyond 24-hours out, and the promise of a return call was again offered. A week later, the phone had not rung, and Rebecca was still limping along without an appointment.

Military veterans consistently report access problems with Veterans Affairs (VA) hospitals and outpatient clinics.  Patients in Phoenix reportedly died while waiting for slow cancer care.  The issue is an administrative and ethical conundrum; veteran satisfaction rates and overall patient wait times must be improved.

The solution is not entirely structural, though more infrastructure and staff would directly reduce wait times because more providers are available.  The answer to date has been the bandage of increased oversight – stipulating tighter regulation and monitoring of recorded wait times. The intention of such accountability measures is consistently undermined by employees incentivized to modify the numbers, and it is a rare whistle-blower willing to call attention to the statistical maneuvering.

If adding more directives to reduce wait times has been met with maintenance of the defunct status quo, how can we improve accountability while working within the current system reality?

The answer involves expanding the standard of care and embracing holistic wellness. First and foremost, we need to make the process of receiving care easier, more effective, and more efficient, and one of the best and most empirically validated ways to do so is to offer trauma-informed care.

Trauma-informed means knowing the history of past and current abuse or trauma in the life of the consumer with whom one is working and to understand the role that violence and victimization play in the lives of most consumers of mental health and substance abuse services, thereby utilizing that understanding to design service systems that accommodate the vulnerabilities of trauma survivors and allow services to be delivered in a way that will facilitate consumer participation in treatment. With trauma at the center of understanding, all parties – clients, providers, clinicians, and programs – will benefit.

We must begin providing trauma-informed care at all levels of care, from point A to point Z in the care cycle for our veterans, working with existing VA employees, staff, and providers. Our veterans are coming from a place of trauma, be that trauma combat or simple transition.

VA hospitals are not public hospitals. Therefore, trauma-informed care must be a requirement for any person in the VA.

 Research has convincingly shown that it is not just mental health care providers who need a trauma-informed approach, and sadly even many of those providers do not have this background. For instance, psychiatrists are not taught to account for cultural, environmental, economic, gender, or trauma history differences among clients. Social workers, for example, are exclusively trained and educated from this perspective of the prevalence of trauma and the impact of environmental factors.

How does this impact wait times?

Education of the entire staff is required, not just the person the veteran encounters after the 5th stage of waiting (multiple phone calls, an employee they encounter in the parking lot, the volunteer at the front desk, employees inside the building, the receptionist at the clinic office) because all of those stages of interaction impact how care is sought, followed up with or not, or perceived by the patient.

Part of wait time computation involves the actual time but some of it is the perception of time – sometimes a 2 hour wait can feel worse than a week long wait; it depends on how the person who is addressing you talks to you. Veteran perceptions are important and impact how they feel about care received.
  • Improving the staff’s trauma-informed perspective improves wait times by improving and tailoring the environment. Frankly, this trauma-informed paradigm can be used as an incentive to the care provider because the whole process becomes more humane to them. As they are trauma-informed they address people differently.
  • Trauma-informed personnel are more likely to address issues more effectively and efficiently. As empathy and understanding increase, so does efficiency because veterans come in to be treated, feel safe doing so, are being treated one time, versus becoming overwhelmed and leaving, necessitating another visit. For instance, if a veteran enters the hospital and is yelled at by the person behind the desk, or harassed by a janitor, he or she very well may turn around and leave. The veteran will then have to call in again, make another appointment, likely be perceived as disrupting the system and be chastised for not showing up for their appointment. The whole process not only may be re-traumatizing, but will add to the backlog of appointments.
  • Trauma-informed care creates safer environments. Feelings of safety are fundamental to effective health care, especially effective mental health care. Thus, veterans are more likely to feel comfortable coming in for proactive and preventative care versus waiting until they find themselves in a most extreme case which then often requires more resources for a longer amount of time, resulting in more pressure on the system again.
  • Trauma-informed care creates better-informed clients. Veteran patient clients, when treated with the respect a trauma-informed model demands, are well-informed at every stage of care, from administrative matters to the care itself. Lack of information leads to confusion and threatens the basic need for feelings of safety. Waiting for return phone calls that never come, or waiting in a waiting room for hours on end well after their scheduled appointment time, are re-traumatizing (and common) occurrences for veterans seeking care at VA hospitals. Trauma-informed care standards would mandate that appointment times be honored, that waiting room facilities are safe and comfortable, and that a patient is communicated to regularly and with respect about the process required to receive care.
Every single employee at a VA hospital needs some trauma-informed education and training, not just psychiatrists. Through a trauma-informed lens, any staff member can see issues more clearly and solve problems where they occur. This would mean, for instance, having a person at the entrance of the VA Hospital who is calm, clear and helpful; not an untrained, random volunteer. Having staff members who are trained in harm reduction and de-escalation techniques is also critical to trauma-informed training, education, and care provision. To shift culture, you cannot just train the leaders. All employees at the VA should receive at least a basic level of training of trauma-informed care. This absolutely also includes care providers.

We do not need more regulations and stipulations on time-frames, which are already in place and already not being followed. Veterans and the families who support them are calling for a true cultural shift in care, one that can be achieved with training and standard of care expansion.

Editor’s note: This article was jointly authored. Sarah Plummer Taylor, MSW is an established leader in the field of resilience building, holistic wellness, and leadership training. Learn more at SEMPER Sarah®. Kate Hendricks Thomas, PhD is an Assistant Professor of Public Health at Charleston Southern University. 
Posted by Mental Health BC at 5:54 PM No comments:
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Sunday, October 30, 2016

Professional development: Play, Expressive and Complex Trauma Therapy courses at the JIBC

Upcoming Courses at the Justice Institute of British Columbia
  • Expressive Play Therapy 1 (COUN-3100): Oct 24-25
  • Expressive Play Therapy 2 (COUN-3105): Oct 26-27
  • Introduction to Art Therapy for Counsellors and Therapists (COUN-1017); Nov 3-4
  • An Introduction to the DSM-5 (COUN-1015); Dec 6-7
  • Assessment Practices (COUN-1115): Nov 18-19
  • Motivational Interviewing 1 (COUN-1125): Dec 9-10
  • Aboriginal Focusing-Oriented Therapy and Complex Trauma - Applications due November 28 for January 2017

Graduate Certificate in Complex Trauma & Child Sexual Abuse Intervention: Learn more at jibc.ca/complextrauma
More information
Posted by Mental Health BC at 7:15 PM No comments:
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Professional development: Jack Hirose & Associates Inc - Burnaby & Richmond

UPCOMING WORKSHOPS IN BC from Jack Hirose & Associates Inc

British Columbia School-Based Mental Health Conference
Presented by Ross Greene, Ph.D.; Lynne Kenney, Psy.D.; Lynn Lyons, MSW; Gordon Neufeld, Ph.D.; Donald Meichenbaum, Ph.D.; Lynn Miller, Ph.D., R.Psych; Lisa Ferentz, LCSW, DAPA
November 7 – 9, 2016 | Richmond, BC
Advanced CBT for Insomnia & with Comorbid Conditions: A Client-Centred, Evidence-Based Approach
Presented by Colleen Carny, Ph.D., C.Psych.
November 16, 2016 | Burnaby, BC
Emotional Disorders: Practical Strategies for Transdiagnostic Treatment of Anxiety, Depression, Anger, and Perfectionism
Presented by Martin M. Antony, Ph.D.
November 21 – 22, 2016 | Burnaby, BC
Two-Day DBT Intensive: Using DBT to Treat Emotion Dysregulation Disorders
Presented by Sheri Van Dijk, MSW, RSW
November 28 – 29, 2016 | Burnaby, BC
More Information and to register
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Wednesday, October 19, 2016

Controversy: Opting out of child protection laws in the UK

Social workers in fierce row over children’s bill 

Government plans to allow councils to opt out of child protection laws bitterly divides the profession and fuels privatisation fears
Tickle, L. (Oct. 18, 2016). The Guardian. Retrieved from: https://www.theguardian.com/society/2016/oct/18/social-workers-fierce-row-childrens-bill 

There is a ferocious battle going on among individuals who have dedicated their professional lives to protecting children. On one side are well-performing children’s services departments, which believe the law can be an impediment to more effective and efficient ways of working. On the other are children’s rights campaigners, some social workers, family lawyers and senior social work academics, who view with horror the prospect of hard-fought-for laws upholding children’s rights being being made to disappear by the secretary of state.

At the centre of this struggle is the government’s children and social work bill, which proposes allowing councils to request specific exemptions from legislation and statutory guidance so that they can “innovate” to improve children’s experience of being looked after or, and with perhaps somewhat less lofty ambition, achieve “the same outcomes more efficiently”. Opponents fear the bill is a way of skirting difficult problems caused by funding cuts and social worker recruitment and could even lead to children’s social care being outsourced and privatised.

The bill being debated in the Lords on Tuesday proposes that a director of children’s services could ask the secretary of state to suspend part of a statute or guidance so social workers in that area could, for up to six years, try out an idea they believe would benefit children but that would, at present, be against the law.

Examples floated by ministers and other supporters of the bill include: removing the statutory requirement for an independent reviewing officer to carry out six-monthly care plan reviews; asking children in care whether they want to continue to have a social worker; removing the demand for foster carers of children in settled placements to write a daily log of what has happened in a child’s life; and removing the “looked-after” status of children who end up in custody, which would also mean they lose the rights that status confers. The last is a suggestion that Lord David Ramsbotham, former chief inspector of prisons and one of the peers opposing the bill, says he deplores.

“I would abor removing the care status of all children in custody,” he says.

Some social work leaders are frustrated with aspects of the child protection system, which they feel stifles innovation and can lead to a high turnover of staff. So they are irked and baffled by children’s rights campaigners’ opposition to the bill.

Carolyne Willow, director of the Article 39 charity, which fights for the rights of children living in institutional settings, is leading Together for Children, a group of some 40 organisations – including the Care Leavers’ Association, Liberty and the Howard League for Penal Reform – campaigning against the bill.

“It is a breathtaking outrage,” she says. “It’s no good being swayed by kindly sounding voices and people who say they want to do right by children. These are the laws that protect children who have been through horrific experiences and who are in dire need. Without [statutory] duties, my experience is that local authorities do not have the capacity, funding or mindset to provide for children or vulnerable care leavers.”

As a social worker of 30 years standing, Willow says that when a council has failed to provide good care, the one thing she has been able to offer a child is recourse to the protections of the law. “Without legal obligations, she says, “we are back to before the second world war, where we were relying on individual goodwill or professional discretion and where families had no call [as of right] on the state.”

At the Association of Lawyers for Children, Martha Cover, a barrister and children’s rights specialist, warns: “More than ever before they [councils] are driven by the need to protect their resources and their reputations. This is unsurprising given the 40% reduction in their budgets over the last few years, and the public willingness to blame social workers whenever a child is killed.”

Unusually, there was no consultation (such as a green paper) before the bill was presented in the Lords in May. Its main cheerleader, Isabelle Trowler, chief social worker for children and families, has tabled a government amendment to the bill this week, at the report stage, to quell fears that it is a Trojan horse designed to open up children’s services to privatisation. Her action suggests the government is worried about the scale of opposition. Shadow children’s minister Emma Lewell-Buck has vowed Labour will fight against the bill’s “exemption” clauses allowing councils to opt out of sections of the 1989 Children Act.

Trowler has made it clear the government wants social workers to be able to exercise their professional judgment without too many rules getting in their way. “[Now, ]what the bill will hopefully enable us to do is where authorities request that [exemptions], they can innovate and do things differently,” she said earlier this year.

Three local authorities have publicly embraced the bill: Leeds, Hampshire and Lincolnshire. All have children’s services designated by Ofsted as at least “good” and elements rated “outstanding”, which is presumably why they feel they have earned the right to be trusted when they judge that parts of the legislation are not working for children and want to try alternatives.

“I’m seeing some of the best social work in Lincolnshire I’ve seen in my career. And we’ve shoehorned that into current legislation. With the opportunity to innovate, we could achieve something fantastic,” says Stuart Carlton, assistant director of children’s services at Lincolnshire county council.

“Under the current legislation and guidance, where things aren’t working well, children’s rights are being let down anyway,” he says. “So why are we so opposed to allowing good local authorities try something out? I understand the concerns: there need to be really good safeguards, but this could be a once in a lifetime opportunity to put the child right at the centre of everything we do.”

In Hampshire, director of children’s services Steve Crocker says it is vital the social work profession is not limited by an imperative to practise in a way that is “frozen in time” by laws passed more than a decade ago. “If you only build up more legislation and regulation, why are we surprised that social workers are leaving the profession at the rate that they do?” he asks. “Nobody’s saying, take away all the regulation. It would only be very specific parts. It’s about suggesting tweaks to what highly skilled people do.”

Crocker insists a way has to be found “to safely experiment that will help us all in the sector in future”. Underlying at least part of the enthusiasm for the potential freedoms contained in the bill seems to be immense frustration that child protection social work is minutely scrutinised by Ofsted and then savagely blamed in public when something goes wrong. The latter scenario typically leads to more legislation, and tighter prescription of what a social worker should do, how it should be done, and by when.

“I do think there’s a debate to be had about whether we aren’t massively over-regulated and over-checked in terms of our practice,” says Dave Hill, president of the Association of Directors of Children’s Services. “There’s an underlying issue of trusting professionals to do the best thing for children. [These clauses] would give us space to work. I can’t see millions of downsides.”

Yet lessons from Cornwall suggest that attributing poor practices to stifling over-regulation could be a red herring. The council has turned around a poorly performing children’s service over the past six years by rebuilding confidence and stability in the system through listening to families and children, reducing caseloads and better engaging with social workers.

Kathy Evans, chief executive of charity Children England, says she would be up for a thorough overhaul of the factors that impede social workers in their efforts to care for children and families. “But to do that does not warrant putting all child protection and care legislation and guidance up for grabs,” she says. If a child in custody with no social worker ends up having their rights breached, where are they to seek justice if the very law intended to protect them has been locally disapplied.

“There is no explanation so far about how a child in an exempted area might be able to challenge or complain. I have no lack of respect or sympathy for local authorities – but with the best of professional intentions, you can miss what an exemption could mean for a child.”

The job of a child protection social worker is so difficult that many last only a few years in frontline practice. Those supporting the bill believe the attrition rate is precisely because of the overwhelming demands of detailed statutory guidance. But opponents of the bill are not convinced.

“Local authorities must be held to account by the law which protects children’s rights,” says Cover. “Even with the existing framework in place, poorly performing local authorities regularly fail to carry out their duties to children. The law reports of care cases demonstrate this with depressing regularity.”

Posted by Mental Health BC at 6:46 PM No comments:
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Wednesday, September 7, 2016

Professional development: Tuning in: The Person of the Therapist - Vancouver

Tuning in: The Person of the Therapist - How your own here-and-now experience can transform the power of your sessions

Vancouver Couple & Family Institute

Date: Oct 20 - 21, 2016                Time:  9:00am - 5:00pm

Location: Canadian Memorial Centre for Peace - 1825 West 16th Ave Vancouver, BC

In this workshop you will discover new ways to use your inner experience to navigate stuck places and nurture healthy bonds in your work with individuals and couples.

We will incorporate video excepts, engaging didactic presentation and small group exercises focusing on:

1) Helping therapists find new ways to share how we are impacted by our clients.
2) Exploring how to navigate and repair times when we become triggered in our therapist role.
3) Self-care.

More information and to register.
Posted by Mental Health BC at 6:17 PM No comments:
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Ethical Decision-making Models and Tools for Social Workers


Social workers are faced with many different types of ethical dilemmas in our professional work and practice. When making ethical decisions in our work, it helps to use ethical decision-making models. To support ethical decision-making in our work some social work models and tools are presented below. 

Ethical Decision Making Toolkit. BC Association of Social Workers. Retrieved from: http://www.bcasw.org/wp-content/uploads/2014/08/Ethical-Decision-Making-Toolkit.pdf

Ethical Decision-Making in Social Work Practice. Newfoundland and Labrador Association of Social Workers. Retrieved from: http://www.nlasw.ca/pdf/Practice_Standards/Ethical_Decision_Making_Framework.pdf

Ethical Decision-Making Models in Resolving EthicalDilemmas in Rural Practice: Implications for Social Work Practice and Education. 
Edwards, B. and Addae, R. (2015). Journal of Social Work Values and Ethics, 12, (1). Copyright 2015, ASWB. Retrieved from: http://jswve.org/download/spring_2015,_vol._12,_no._1/articles/88-JSWVE-12-1-Rural%20Practice-Resolving%20Ethical%20Dilemmas.pdf

Essential Steps for Ethical Problem-Solving
From the National Association of Social Workers. Retrieved from: http://www.socialworkers.org/pubs/code/oepr/steps.asp

1. DETERMINE whether there is an ethical issue or/and dilemma.

Is there a conflict of values, or rights, or professional responsibilities? (For example, there may be an issue of self-determination of an adolescent versus the well-being of the family.)

2. IDENTIFY the key values and principles involved.

What meanings and limitations are typically attached to these competing values? (For example, rarely is confidential information held in absolute secrecy; however, typically decisions about access by third parties to sensitive content should be contracted with clients.)

3. RANK the values or ethical principles which - in your professional judgement - are most relevant to the issue or dilemma. 

What reasons can you provide for prioritizing one competing value/principle over another? (For example, your client's right to choose a beneficial course of action could bring hardship or harm to others who would be affected.)

4. DEVELOP an action plan that is consistent with the ethical priorities that have been determined as central to the dilemma.

Have you conferred with clients and colleagues, as appropriate, about the potential risks and consequences of alternative courses of action? Can you support or justify your action plan with the values/principles on which the plan is based? (For example, have you conferred with all the necessary persons regarding the ethical dimensions of planning for a battered wife's quest to secure secret shelter and the implications for her teen-aged children?)

5. IMPLEMENT your plan, utilizing the most appropriate practice skills and competencies.

How will you make use of core social work skills such as sensitive communication, skillful negotiation, and cultural competence? (For example, skillful colleague or supervisory communication and negotiation may enable an impaired colleague to see her/his impact on clients and to take appropriate action.)

6. REFLECT on the outcome of this ethical decision making process. 

How would you evaluate the consequences of this process for those involved: Client(s), professional(s), and agency (ies)? (Increasingly, professionals have begun to seek support, further professional training, and consultation through the development of Ethics review Committees or Ethics Consultation processes.)

From discussion by Frederick Reamer & Sr. Ann Patrick Conrad in Professional Choices: Ethics at Work (1995), video available from NASW Press 1-800-227-3590. Format developed by Sr. Vincentia Joseph & Sr. Ann Patrick Conrad. NASW Office of Ethics and Professional Review, 1-800-638-8799
Reamer, F. G. (2002). Making Difficult Decisions. Social Work Today: Eye on Ethics. Retrieved from: http://www.socialworktoday.com/news/eoe_101402.shtml

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Sunday, August 28, 2016

Global Politics: Increasing Racism and Marginalization of Refugees

Shifting Social Constructs: The Rising Villianization of Refugees

Keyes, A. (2016). Social Work Helper. Retrieved from: https://www.socialworkhelper.com/2016/08/24/shifting-social-constructs-rising-villianization-refugees/

Headlines detailing the fallout of refugee migration throughout Europe appear in major news sources almost daily. While discussion around countries and organizations being overwhelmed by sheer numbers remains the same, the sentiment toward refugees appears to be shifting from benevolence to something entirely different.

As a nation, Germany serves as a case study for this hypothesis. In 2015, Germany accepted over a million refugees, larger than the amount the United States has in a decade, as well as the highest number accepted by any European country for the calendar year. The open-door policy authored by German Chancellor Angela Merkel toward refugees fleeing Syria and Iraq last fall sanctioned the influx.

During the initial months of the policy being in effect German citizens actually came to train stations where refugees were arriving and applauded them as they arrived. However, this widespread welcoming attitude has since been abandoned. Events like mass sexual assaults in Cologne on New Year’s Eve, alleged high crime rates within refugee camps, and infiltration of terrorists amongst refugees contributes to the recasting of refugees within Germany as deviants.

CNN reporters recounted how in the city of Cologne on New Year’s Eve 2015 there were ninety criminal incidents recorded reported with a smaller number of such instances in Hamburg. Of those incidents, twenty-five percent were reported as being sexual assaults including one instance of rape. All victims described the individuals as “gangs of Arab or North African men”. At that point in time, German Justice Minister Heiko Maas “warned against linking the assaults to the immigration issue” but with the description of the perpetrators broadcast, connections were drawn and the public outraged.

Additionally, German authorities announced on May 11 that there were 40 open investigations regarding believed Islamic militants who immigrated to Germany with the refugees. The announcement confirmed and built upon already present fears regarding terrorist attacks. Instances like the July 19 axe attack, one of three violent acts by refugees this month, aboard a German passenger train by an individual identified as “teenage Afghan refugee”  continue to fuel fear and provide further evidence to solidify the relegation of refugees’ social construct, within Germany’s perceived popular opinion, to the deviant category.

Aljazeera went as far as to label this the emerging image of “the rapist refugee as Germany’s boogeyman”. It is an image which will inform future immigration policy and popular opinion. It is already noted in the decreasing support for two term German Chancellor Angela Merkel as she continues to support immigration and is experiencing a drop in polls with almost two-thirds surveyed saying she should not run again in 2017.

The focus on the miscreant minority casts a shadow over the refugee majority’s potential. It is a potential that economists assert could be the answer to Germany and Europe’s aging workforce. The labor market needs an influx of young workers to make up for the millions reaching retirement age. It is a need which roughly one third of the refugees within Germany’s borders can fill. Yet, the success of refugee integration into the German labor market hinges on more than just age. It encompasses language, education and skill levels, qualification recognition, legal right to work, and employer openness.

Successful integration into the labor market does not operate in a vacuum where only the listed criteria apply. Instead it will be steered by society which begs the question: will a criminal minority shift the perception of the refugee population at large? The fallout politically, socially, and economically for refugees in Germany and in other receiving countries is yet to be determined. However, the swinging social construct will impact millions of lives globally.
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The need for change bulldozed a road down the center of my mind. ~ Maya Angelou

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