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Center for Adoption pp & Education Support AAICAMA 2015 National Meeting – Arlington, VA

Background Training And National Certification For Adoption Competent Mental Health Practitioners X

A multi-year lti project j t th thatt b began iin JJanuary 2008

X

C.A.S.E’s TAC (Training for Adoption Competency) is the first major product of that initiative.

C.A.S.E. TAC (Training for Adoption Competency)

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KEY PROJECT GOALS

X

T develop To d l national ti l evidence-based id b d adoption-competent d ti t t clinical li i l ttraining i i standards for mental health professionals.

X

To design, test and evaluate a replicable model for adoption-competent postmasters clinical training that integrates the national standards.

X

To construct and implement national certification to the standards.

C.A.S.E. TAC (Training for Adoption Competency)

Adoption Competent Mental Health Professional Qualifications ‰ ‰ ‰ ‰ ‰ ‰ ‰

Professional education and licensure; Family-based, strengths-based, and evidence-based approach to working g with adoptive p families and birth families;; Developmental and systemic approach to understanding and working with adoptive and birth families; Knowledge, clinical skills and experience in treating individuals with a history of abuse, neglect and/or trauma; Knowledge, skills and experience in working with adoptive families and birth families. Culturallyy competent C p with respect p to the racial and cultural heritage of children and families. Skilled in advocating with other service systems on behalf of birth and adoptive families.

X

C.A.S.E. TAC (Training for Adoption Competency)

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Adoption Competent Mental Health Professional Qualifications ‰ Comprehensive understanding of adoption

continued

o Family formation and different types of adoption; o Clinical issues associated with separation, loss and attachment; o Common developmental challenges in the experience of

adoption; o Characteristics and skills that make adoptive families successful. ‰ Therapeutic skills o Engaging birth birth, kinship kinship, and adoptive families o Helping individuals to heal,

o Empowering parents to assume parental entitlement and

authority,

o Assisting adoptive families to develop, strengthen and practice

parenting skills that support healthy family relationships.

C.A.S.E. TAC (Training for Adoption Competency)

18 DOMAINS OF ADOPTION COMPETENCY: KNOWLEDGE, VALUES AND SKILLS 1. 2. 3 3. 4. 5. 6. 7.

Theoretical/Philosophical Framework The Therapeutic Approach The History of Adoption and the Adoption Process Planning and Preparing for Adoption Legal Issues in Adoption Differences between Adoption and Being in One’s Families of Origin Clinical Issues

C.A.S.E. TAC (Training for Adoption Competency)

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18 DOMAINS OF ADOPTION COMPETENCY: KNOWLEDGE, VALUES AND SKILLS 8. 9. 10. 11. 12. 13. 14.

Impact of Genetics and Past Experiences Trauma and Brain Neurobiology Different Types of Adoptive Families Adoptive Family Formation, Integration and Developmental Stages Cultural Issues Needs of Birth Family Members Openness in Adoption

C.A.S.E. TAC (Training for Adoption Competency)

18 DOMAINS OF ADOPTION COMPETENCY: KNOWLEDGE, VALUES AND SKILLS Race, Ethnicity and Culture 16. Therapeutic p Modalities/Techniques q 17. Community and Cross Systems Work 18. Ethical Practice 15.

C.A.S.E. TAC (Training for Adoption Competency)

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THE TRAINING CURRICULUM X

X X

13 sessions: i 12 classroom-based l b d llearning i (6 h hours each) h) and one at home module (completed before the classroom-based training begins) Final session: an opportunity to integrate learning Each session combines: X Information sharing X Handouts and resources X Experiential learning, including case studies, role plays, and introspective work C.A.S.E. TAC (Training for Adoption Competency)

C.A.S.E. TAC (Training for Adoption Competency)

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TAC Participants by States State

Completed

DC area (pilot) NC (Catawba) Indiana (Villages) Mi Minnesota t Ohio (Montgomery Co.) Nebraska Others FACC (MO) Lilliput (CA) MARE (MA) UCONN (CT) Virginia Four Oaks (IA) Mississippi Totals

Currently Enrolled

Total All

13 56 11 113 12

18 39 8

13 74 11 152 20

26

18

44

17 47 13 25 --

39 21 27 12

333

182

56 68 13 25 27 12 Pending 515

TAC Participants

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TAC Participants

TAC Certificates X

Advanced Clinical TAC Certificate

Students who successfully complete the TAC by completing the classroom training and the case consultation component receive an Advanced Ad d Cli Clinical i l TAC Certificate. C ifi X

Basic TAC Certificate

Students who successfully complete all classroom-based modules but who do not participate in the case consultation receive a Basic TAC Certificate. Students who complete some but not all of the classroom-based modules receive documentation that verifies that they have completed the specified modules.

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EVALUATION X

External Evaluation by PolicyWorks, Ltd.

X

Methodically y developed p with Expert p Advisory y Board and Reviews of Methods and Literature

X

Comprehensive Guide, online data collection technologies, partnership with site QI/Evaluators

C.A.S.E. TAC (Training for Adoption Competency)

SURVEY OF ADOPTION KINSHIP NETWORK: Definition of Adoption Competent MH Professional

X

N = 485

X

Responses

XValidates

definition developed by experts

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

87%

17% 9%

8%

Adop Parents Adop Fam Member

Adop Persons Other Role

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EVALUATION FINDINGS TO DATE 80

72.57

70 60 50 40 31.84 30

32.07

33.02

20 10 0

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%

100%

64% 55%

Practice Change 2+ Aspects Change in All 5 Aspects PreTest

PostTest

Change at Organiz Level

Toward Recognition as an EvidenceEvidence-Based Model XAccording

to the California Evidence-Based Clearinghouse for Child Welfare – Strengths found in EB Practices

-

Model well specified p and manualized

-

Strong evidence of implementation fidelity, quality & relevance; of clinician practice change

-

Publication in peer reviewed journal (Adoption Quarterly)

XNext

step: Demonstrating client outcomes through study comparing outcomes with TAC-trained vs. non-trained clinicians (subject for another Board Meeting)

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National Adoption Competency Mental Health Training Initiative Cooperative Agreement (Grant #90CO1121) The DHHS Administration on Children, Youth and Families/Children’s Bureau

National Adoption Competency Mental Health Training Initiative Purpose X

To establish a web-based training initiative that builds the capacity of State, Tribe and Territory child welfare professionals and mental health practitioners to understand & better address the mental health needs of children and families experiencing adoption or guardianship.

X

To improve well-being outcomes for the children and families with goals of adoption or guardianship, as well as provide support and the appropriate p interventions to assure stable and secure p post-permanency p y therapeutic experiences for these youth and families.

X

To learn from previous adoption competency training models and complement existing initiatives aimed at strengthening the capacity of child welfare staff and mental health practitioners addressing the mental health needs of the target child and family population.

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National Adoption Competency Mental Health Training Initiative Target Population X

Children moving towards permanence through adoption/guardianship and their families

X

Children who have experienced multiple traumas before and after entering foster care

X

Children who are trauma survivors X

Abuse and neglect prior to entering care

X

Separation and loss upon entering care

X

Multiple moves and relationship disruptions while in care (families, schools, service providers)

X

Ambiguous loss and unresolved grief as they leave care to adoption or guardianship

X

Limited support to know their story and resolve grief and loss

X

New families that may not know their child’s trauma history

National Adoption Competency Mental Health Training Initiative M Mental l Health H l h Challenges Ch ll F Faced db by These Th Children Child X

Internalized and externalized behaviors (e.g. depression and withdrawal or anger and acting out)

X

Mistrust of adults

X

Developmental delays

X

Poor academic performance and adjustments

X

Confused sense of belonging

X

Limited understanding of past, anxiety in the present, and fearfulness about the future

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National Adoption Competency Mental Health Training Initiative M Mental lH Health l h Challenges Ch ll F Faced db by Th Their i Families F ili X

Child welfare workers who make inappropriate or uninformed mental health referrals to community therapists

X

Community therapists who do not understand the adoption or guardianship experience

X

Treatment providers that blame adoptive parents and guardians

X

Therapists that work only with children and not families

National Adoption Competency Mental Health Training Initiative Objectives Objective # 1 1. Create state of the art, evidence-informed, adoption-competent mental health web-based curricula for Child Welfare Professionals and Mental Health Practitioners with quality improvement components for use within all states, tribes & territories

Objective # 2. Deliver state of the art, evidence informed adoption-competent mental health curricula in a web-based format for Child Welfare professionals and Mental Health practitioners

Objective # 3 3. Implement a national certificate process for adoption-competent mental health training with Child Welfare and Mental Health professionals designating successful completion of the web-based training. Develop a blueprint for a national certification process

Objective # 4. Evaluate rigorously web-based adoption-competent mental health training performance, effectiveness and outcomes, and related costs.

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National Adoption Competency Mental Health Training Initiative Design of Web-Based Training Curricula Child Welfare Workers (casework, case management, clinical) 8 modules x 5 lessons x .5 hours per session = 20 hours Child Welfare Supervisors 8 CW worker modules + 2 supervisor-specific modules x 3 lessons x .5 hours per session = 23 hours Mental Health Practitioners (agency-based; private practitioners) 10 modules x 5 lessons x .5 hours per session = 25 hours Coaching for Mental Health Practitioners Practitioners complete 4 of 6-8 90-minute topical coaching sessions offered = 6 hours

How This is Different Benefits of Web-Based Training X

Accessibility X

Anyone with a computer and internet access can take the training

X

Younger users are more inclined to take, and are familiar with, this type of learning

X

No geographic barriers

X

Training is standardized

X

Users can engage in discussion via the training delivery system

X

Users can learn at their own pace

X

Material can be easily updated

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How this is Different Research on Web-Based Training/Learning X

The effectiveness Th ff i off online li learning l i approaches h appears quite broad across different content and learner types

X

There are no significant differences in learning outcomes in face-to-face instruction compared to online learning, even in courses that are clinical in content (e.g. clinical social work skills)

X

Online learning can be enhanced by prompting learner reflection

Format for Web-Based Training X

Adobe Presenter 10 used to produce presentations

X

PowerPoint slides with pictures, text, and interactions

X

Pre-test/post-test questions

X

Embedded knowledge-checking through quiz questions/activities

X

Printable notes

X

Closed caption capabilities

X

Synced audio recording

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Web-Based Content Options X

Discussion Di i b board d (monitored? ( i d? archived? hi d? with i h companion i website / discussion tool for questions and discussion?)

X

Role-play demonstrations

X

Clinical demonstrations

X

Videos (followed by discussion)

X

Video-recorded case scenario

Content Options (cont.) X

Quizzes with feedback X

Multiple choice

X

True/false

X

Fill-in-the-blank

X

Short answer

X

Matching

X

Rating scale

X

Sequence

X

Hot spot (point to right spot on an image)

X

Drag drop

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National Adoption Competency Mental Health Training Initiative C Core P Partners t X

Center for Adoption Support & Education – Management, Implementation & Oversight Debbie B. Riley, CEO; Sarah B. Greenblatt, Initiative Director

X

University of Maryland School of Social Work – The Institute for Innovation & Implementation/Online Training Center – Web-based Training Production & Technical Assistance; Evaluation - Rick Barth, Dean; Marlene Matarese & Meredith Waudby, Web-

based Curricula Delivery & Related TA; Bethany Lee and Devon Brooks (University of Southern California), Evaluation

X

PolicyWorks – Adoption-Competency & Jurisdictional Scans & Profiles; Project M Management QA SSystems; & IInformational f i lP Products d - Anne J. Atkinson, President & Principal Evaluator

X

Curriculum Content Consultants – Competencies, modules, lessons, learning objectives – Susan Smith & Carol Bishop

National Adoption Competency Mental Health Training Initiative Subject Matter Partners X

National Indian Child Welfare Association – Cultural responsiveness consultation; linkages within tribal CW/MH providers & training programs; development & implementation consultation. Terry Cross – Founding Director/Senior Advisor

X

Alliance for Strong Families & Communities – Linkages within private provider networks and organizations; organizational resource scans. Patrice A. Heinz, Resource Development Director

X

Th Dave The D Thomas Th Foundation F d ti – Linkages Li k within ithi Wendy’s Wonderful Kids national networks; consultation related to development and implementation of web-based training. Rita Soronen – President & CEO

X

Lilliput Children’s Services – Coaching Network development and oversight. Edythe Swindler – Clinical and Training Manager

X

Rudd Adoption Research Program/Umass, Amherst – Dissemination efforts; Work Group participation Hal Grotevant, Director

X

Kentucky Partnership for Families & Children – Subject matter expertise for curricula development. Carol Cecil, adoptive parent.

X

Family Involvement Center/Pheonix, AZ – Subject matter expertise for curricula development. Dawn Schoenstadt, adoptive parent

X

Cassandra Kisiel/Northwestern University Feinberg School of Medicine – Trauma consultation. CoDirector for Treatment Services & Adaptation Center of the National Child Traumatic Stress Network

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National Adoption Competency Mental Health Training Initiative N ti National lN Network t k Partners P t X

National Association of State Adoption Programs – Linkages with state adoption program managers and other state program and training leaders; development and implementation consultation

X

National Association of State Mental Health Program Managers – Linkages with state mental health program directors; development and implementation consultation

X

New England Association of Child Welfare Commissioners & Directors – Linkages to New England state child welfare leaders; development & implementation consultation

X

National Public Human Services Association/National Association of Public Child Welfare Agencies/National Staff Development & Training Association – Linkages re: development & implementation with state child welfare program & training leadership

X

Others as evolve

National Adoption Competency Mental Health Training Initiative – Approach & Timelines Phase I – Years 1-2 X

Identify target training populations

X

Scans – adoption-competency training programs/resources; definitions & competencies; jurisdictional profiles

X

CW Work Group – Definitions & Competencies to inform curriculum content

X

Curricula Content – Competencies & Annotated Outline with Modules, lessons and learning objectives

X

Web-based Conversion

X

Build relationships and implementation plans with national organizations and leaders in States, Tribes & Territories

Phase II – Years 3-5 X

Pilot test with 5+ state, tribes and/or territories; build coaching components

X

Quality Assurance Efforts

X

Curricula revisions

X

Implementation and TA with selected additional states, tribes & territories

X

Build Blueprint for Certification p y Process Competency

X

Evaluate effectiveness of web-based curriculum implementation with selected sites

X

Determine costs of development, implementation, evaluation, revision, sustainability

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National Adoption Competency Mental Health Training Initiative D Development l off Pilot Pil Site Si Selection S l i Criteria Ci i X

Selection criteria – Settings

X

Selection Criteria – Professional Roles & Numbers of Staff to be Trained

X

Selection Criteria – Readiness to Partner in Pilots

National Adoption Competency Mental Health Training Initiative Implementation & Sustainability Strategies with States, Tribes and Territories X

Include sites in building implementation plans – considering opportunities and constraints

X

Identify target child welfare & mental health staff to benefit from web-based training

X

Build child welfare & mental health implementation planning teams to maximize transfer or knowledge and practice skills with mutual clients

X

Embed web-based curricula in array of required pre- & in-service agency training

X

Build ongoing internal trainee supports to facilitate implementation of web-based training

X

Promote the curricula in meetings with the contract agencies, particularly those that provide mental health services with child welfare populations

X

Promote the training in partnering agencies’ & parent networks’ newsletters

X

Develop systems of preferred provider status for mental health service providers who have earned an adoption-competency mental health training certificate

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National Adoption Competency Mental Health Training Initiative Evolving Outcomes X

X

X

Short Term X

Increase in % of child welfare & mental health professionals with improved adoption and mental health competencies

X

Increase in % of States, Tribe & Territories with child welfare & mental health professionals successfully utilizing Web-based Training

X

Increase in % of localities that utilize TA to implement & infuse Web-based adoption and mental health training

X

Increase in % of child welfare and mental health professionals demonstrating a transfer of knowledge from webbased training & TA activities (by specific activity)

Interim X

Child welfare & mental health professionals will provide adoption competent mental health services to targeted children and families

X

Child welfare systems will systematically include adoption competency mental health content in array of training options

X

Child welfare & mental health organizations will highlight availability of certified adoption and mental health competent professionals

Long Term X

Adopted children & their families served by child welfare & mental health providers experience improved stability & well-being

Thank you! Debbie Riley, CEO – Center for Adoption Support and Education, [email protected] Sarah B. Greenblatt, Director – National Adoption Competency Mental Health Training Initiative, [email protected]

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