3. Clin ax- children & families Flashcards
What theory does the circle of security come from?
Attachment theory (John Bowlby, 1950s)
Describe the circle of security
Informs parents how to attend to the childs need.
Always be bigger, stronger, wiser and kind
Whenever possible follow my child needs
Whenever necessary take charge
Parents need to be a secure base - children feel safe to go out and actively explore (knowing they will be supported). Also know they have a safe haven to return too.
Hands going out and welcoming in
What are some instances where you would need to make a report to FaCS?
When basic physical or psychological needs are not being met (neglect)
When carers do not arrange necessary medical care
When child is seemingly at risk of physical or sexual abuse
When carers behaviour towards child causes or risks psychological harm
Evidence of DV in home
What are the three bottoms lines of the lecture?
- Attachment theory
- Keeping them safe
- Consent and confidentiality
What are the four pillars of assessment?
1, Formal norm-referenced psychometric testing
- Clinical interview (structured, semi-structured, structured/diagnostic)
- Observations
- Informal assessment procedures - drawings, school reports, play activities
What are some core tasks to address in an initial session with children and families?
- Set the frame - engage client
- Genogram - meeting the person before the problem
- Generate problem list (presenting problem - why are they here today/what is happening)
- Explore history of problem - previous treatment?
- Explore developmental/ family history
- Family expectations from assessment - goals
- Deal with own feelings following session
- Following organise to contact others services involved.
What are the key elements of formulation?
descriptive and exploratory
collaborative
hypothesis testing approach - fueled by curiosity
Evolving
clinical spotlight - directed by theoretical frameworks and evidence based practices
At what age can children communicate about their thoughts?
At what age can children make links between thought/feeling and behaviours?
3
7
What age group/developmental stage is unable to recognise everyone has different perspectives or understand cause-effect relationships?
Pre-operational (15mo - 5/6y)
What age/developmental stage is able to understand abstract concepts but assume only one is true?
Concrete operational (6-11y)
What age/developmental stage is able to entertain hypothetical situations, have meta-cognition and consider the wide context?
Forma operational children (11+y)
According to solution focused therapy what are the four ways a client can be perceived?
- prisoner - don’t want to come to therapy
- complainant - complain about everything
- Visitor - happy to come to therapy and want to change but not committed
- Customer - happy to come, want to change and work for it.
