A family intervention model based on: Trotter C (2013) Collaborative Family Work - a practical model for working with families in the human ...

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A family intervention model based on: Trotter C (2013) Collaborative Family Work - a practical model for working with families in the human ...
   A family intervention model based on:

    Trotter C (2013) Collaborative Family Work – a
    practical model for working with families in the
    human services, Allen and Unwin, Sydney

   Project funded by Australian Research Council
    Linkage Grant and NSW Juvenile Justice and Monash
    University

   Professor Chris Trotter, Director Monash University Criminal Justice Research
    Consortium

                                                                                    1
   Family are one of the most important factors in
    young offending

   The YLSI analysis of risk factors places it alongside
    prior offences, substance abuse, peer relations,
    education and employment, and personality type as
    major determinants of re-offending

   Family issues most commonly identified
    criminogenic need (Bonta et al 2008) - more often
    than drug use for example.

   Most frequently discussed in supervision

                                                            2
   Analysis of case management files found that:

    recidivism was significantly lower when POs
    (1) engaged with clients and (2) managed
    family problems

   Young people were twice as likely to offend if
    family problems were not addressed

                                                     3
   Family interventions for young offenders -
    average reduction in recidivism 20% and 52%.
    (Meta-analysis by Lipsey and Cullen 2007)

   Dowden & Andrews (2003) meta-analysis of
    the effectiveness of 38 family interventions -
    effective, if based on effective practice
    principles;

                                                     4
   1.   Clear structure

   2.   Easily learnt

   3.   It is a partnership model

   5.   Several positive evaluations – Dandenong CC, Dept
           of Police and Emergency Services, Vic Youth
           Justice (Trotter 2010).

   6.   Based in family home

   7.   Continuity with supervision and informs supervision

                                                               5
   Based on earlier work by William Reid, Gerald
    Patterson, Epstein and Bishop and Alexander
    and Parsons
   Adds a pro-social dimension and more recent
    principles of effective practice with offenders
    to those models
   Consistent with what works principles (e.g.
    Trotter 2005, Andrews and Bonta 2010)

                                                      6
1.   Role and Ground Rules
2.   Identify Issues
3.   Decide what to work on first
4.   Goals
5.   Explore the issue
6.   Strategies

                                    7
   This project examines the effect of
    collaborative family work on juvenile
    offenders, focussing on both family
    relationships and recidivism.

   Act Now Together Now Strong (ANTS)

                                            8
   45 undertook ANTS
   15.26 average age
   36% previous custody.
   21/44 (48%) identified as indigenous (in one
    case this was unclear).
   21.7 YLS/CMI medium to high risk
   offences – e.g. break and enter, robbery,
    assault, car theft, contravening Apprehended
    Violence Order, and malicious damage.

                                                   9
   5.1 Average number of participants

   2 workers

   3.1 family members.

                                         10
 200plus ANTS sessions over 5
 years

                                 11
   41 primary clients,
   34 mothers,
   12 fathers,
   12 brothers,
   7 grandmothers,
   6 sisters,
   3 step mothers,
   2 family friends
   1 stepfather.

                          12
 42 juvenile justice officers,
 8 juvenile justice counsellors,
 18 case managers from Mission
  Australia
 2 workers from justice health,
 20% of the workers identified as
  indigenous.
 61% of the workers were female and
  39% male.
                                       13
14
15
16
   1. Pretty bad: We fight a lot and don’t speak
    to each other
   2. Not Good: Sometimes we talk to each other
    nicely, but not often
   3. OK: We get through our issues but it could
    be better
   4. Good: Basically things are ok, we talk
    things out most of the time
   5. Really Good – no fights and we all get on
    well

                                                   17
Table 1 Family Functioning Evaluations
               Family Family Family
              meeting meeting meeting
                 1        3         5
N                   91       94       67

Mean           2.7418 3.3144 3.7500

                                           18
Family   Family Family Family
       meeting meeting meeting meeting
         2        3      4       5
N            30      52     46      52

Mean    2.2000   2.5769   2.7674   3.5827

                                            19
   Very unhelpful            1     1.6%
   Unhelpful                 0     0.0%
   Neither helped nor harmed 1     1.6%
   Helpful                   25   39.7%
   Very helpful              36   57.1%

(n = 62, 27 families)

                                           20
   Much worse       0    0.0%
   Worse            0    0.0%
   About the same   5    8.2%
   Better           21   34.4%
   Much Better      35   57.4%

(n=61)

                                  21
   Much worse       0    0.0%
   Worse            0    0.0%
   About the same   4    10.8%
   Better           21   56.8%
   Much Better      12   32.4%
   (n=37)

                                  22
   Very unhelpful   0    0.0%
   Unhelpful        1    1.6%
   Neither          5    7.9%
   Helpful          23   36.5%
   Very helpful     34   54.0%
   (n = 63)

                                  23
   Worse                0    0.0%
   About the same       5   11.7%
   A little better      7    8.4%
   Much Better         46   76.7%
   No longer present    2   3.3%

(n=60)

                                     24
   5/31 completed      16%
   6/14 drop out       43%
   17/46 declined      37%
   10/40 not offered   25%

                              25
Completed         Count                11    20
                  % within   Final
                                     35.5% 64.5%
                  status
Started but not   Count                 2    12
completed         % within   Final
                                     14.3% 85.7%
                  status
Offered and       Count                11    35
declined          % within   Final
                                     23.9% 76.1%
                  status
Not offered       Count                12    28
                  % within   Final
                                     30.0% 70.0%
                  status

                                                   26
   Completed                14   mths
   Started, not completed   7    mths
   Declined                 8    mths
   Not offered              10   mths

                                     27
Completion by Age

11-13   2/4         50%
14      4/9         44%
15      8/14        57%
16      8/9         89%
17      8/8         100%
18      1/1         100%

                           28
   Completed     2/17 12%
   Started       0/1 0%
   Declined      7/17 29%
   Not offered   7/13 35%

                             29
Started ANTS   0/7 (0%)

Not given ANTS 11/26 (42%)

Sig .009

                          30
   Completed                20.2800    25   8.45340

   Started but not completed 21.1000   10   7.62234

   Offered and declined     25.5366    41   6.12004

   Not offered              21.6250    32   9.01880

                                                       31
   1.00   23.8039   51   7.87660

   2.00   21.5000   56   7.72952

                                    32
   The ANTS program was extremely helpful for our
    family. We have not had any other program as
    good”
   Thank you T and M. A very worthwhile program to
    participate in. You have given us renewed strength
    to keep on going. You have helped our family
    regroup. The ANTS program has given us hope that
    our family will survive despite the current trials and
    that there are people willing to help. T and M were
    a great team and really made each member of our
    family feel a part of the group discussion” – A
    Mother

                                                             33
Really great; the family needed it.. I was at
a stage to give up and had lost the energy
to continue. We had tried lots of helplines
and gotten no help so I was keen to give
ANTS a go. - Having the facilitators there
to talk about how the persons offending
effected everyone
I enjoyed everyone talking without the
confrontation that went on before - all
conversations were argumentative…I feel
everyone steps back and thinks about it".

The controlled environment of ANTS
gave the family an opportunity to express
their thoughts and also gave me the chance
to listen to the children and see how
responsible they are in how they approach
things.

                                             35
After the first meeting me and my older
son looked at each other and commented
that we didn’t think ANTS would be any
good but by the third week I was right into
it. It gave me an avenue to be able to
speak... everyone was able to speak
without being interrupted. In the past
when we tried to speak my son would
become stressed and angry and walk away.

                                              36
I was worried at first as the family has
done so many family interventions in
the past. By the second week of the
program I could see the difference in
the behaviour of the children. They
are still using things they learned.

                                           37
It was good but too long a break…it
stuffed everything up. This disrupted the
flow and ANTS could have helped to
work through issues which arose during
this time.

                                            38
39
At the beginning of the ANTS program K
wouldn’t listen. The family had
communication issues and the goal was to
improve their communication. Father is
the patriarch and he dominated the family.
Mother was timid & wouldn’t speak up.
At the conclusion of the ANTS program
the mother was speaking up, the father
was communicating and not dictating
which not only surprised us but made the
siblings happy. They developed into a
strong family unit.

                                             40
I felt that this was an extraordinary /
outstanding ANTS service for this family.
A lot of families are similar where
communication is yelling or screaming -
they had been turned away again and
again from services. No one listens to me.
Negotiation between family members and
opening up the ability to communicate is
very helpful.

                                             41
When we introduced the strengths cards it
was a turning point for the family as for
the first time they had heard each other
say positive things about the other.

                                            42
The mother liked the fact that we went to
their home to do ANTS as previously they
had counselling away from the home and
it was not the same

                                            43
The visual tools of placing the ANTS
on the chart was useful as the family
could see where they were and where
they had come from and that things
were improving. Reinforcing was
also useful.

                                        44
There are inherent benefits from
working on 1 or 2 achievable goals
that flow on to other areas of life that
appear unrelated. For this family, the
house is now a home. M who is the
anchor of the family, has found an
inner strength to deal with A’s
behaviour – which is still challenging
at times – without resorting to the
yelling battles that happened
previously.

                                           45
We learnt very quickly that this wasn’t
going to work as we wouldn’t be able to
do the ANTS model structure. The panel
meeting was very helpful as we pulled the
pin before we did any damage. It was the
right decision to withdraw. We made
referrals to family support. The mother
was into blaming & bagging out the father
and she couldn’t see the interests of the
kids.

                                            46
A number of significant family issues and
traumas presented during the program that
were beyond the scope of both the
program and the presenters’
skills/qualifications, that have been
referred for ongoing follow up/support.

It is hard when the parents want assistance
and support and the young person does not
want to engage.

It can be a disadvantage doing the sessions
in the home because of the distractions as
it is not a contained environment.

                                              47
These are very complex families- any
progress of meeting the issues is a big
bonus. The debriefs are an essential part of
it. I struggled at first, how we were going
to do this. It worked well and we could do
it.

                                               48
   Research indicates that work with families lowers
    recidivism
   Ground breaking work in NSW JJ shows that YJOs
    can successfully do Collaborative Family Problem
    Solving with complex medium and high risk young
    people and their families
   Nearly all families report that it is helpful or very
    helpful
   Nearly all workers report that it is helpful or very
    helpful
   Initial recidivism data suggests it may have great
    benefit for indigenous families

                                                            49
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