Workshops and Training

 

A PARTIAL LIST OF WORKSHOPS GIVEN BY THOMAS F. CARR & ASSOCIATES


Assessment of Childhood Disorders

A child comes to the attention of the Court with a behavior described which obviously indicates there is a problem. Where does the problem lay?

  • Child disorder or family disturbance
  • attention deficit hyperactivity disorder
  • conduct disorder & oppositional defiant
  • disorder ( personality disorder in children )
  • depression
  • fear and anxiety
  • children with brain injuries
  • health related disorders




Effectively Dealing With a Crisis in the Residential or Foster Care Setting; Danger and Opportunity

Organizations are sometimes faced with crises involving clients or employees that reach media attention. For example, the sexual abuse of a child by a staff member. These crises often cause chaos within the institution or organization.
We utilize a multidisciplinary approach in developing strategies that effectively deal with the crisis itself, and with the organizational image that is perceived in the community and depicted in the media.

The Chinese symbols for the word “crisis” overlay two other Chinese symbols; “danger” and “opportunity”. During most crises the danger is readily apparent, while the opportunity is missed.

A crisis in any institution is painful to an organization and their members, but can also be an opportunity to create teamwork, educate the public , and involve new people or develop partnerships in the community, to actually enhance the organization and its’ image.

We consider methods for dealing with a crisis, involving the development, utilization, and managing of a “multidisciplinary team”, and how to function cooperatively with outside agencies and organizations , while developing long lasting partnerships even after the crisis is over.

We consider the effects people within the organization, some who take opposing sides to the same crisis, or demand “closure” and “healing” before the crisis is even over.

We consider the long term effects of crisis and the need for “debriefing” at various points in institutional crisis. We will also explore culture as a factor.

We explore the presence of the media, and suggest ways that their involvement can be used to enhance or repair the damaged image that may have been created to an organization at the time the crisis arose , and educate the public about the individual organization and issues that developed from the crisis.

Ethnic & Cultural Considerations in Mental Health & Court Settings

How much do we need to know or consider about ethnic origins or cultural
values when assessing or addressing the needs of a client… perhaps a lot
more than we do!
      • important areas to consider about culture
      • paradigms (Irish & Cambodian) in understanding cultures and needs of individuals and family
      • implications of culture on mental health ; how we use interpreters, listen to what is said, access services.

Issues in Parent and Sibling Visitation in Residential and Foster Care Settings

Many residential facilities and foster care settings are perceived by Courts and child advocates as (at best) non supportive of parent or sibling visitation, or actually interfering with the process. Whether it is appropriate or not, or successful or not, many programs use visitation as a behavior modification tool, sometimes seeing it as the “only incentive we have”. Some programs curtail or stop visitation between children and their family as a result of the perceived effect that the visits have on the child, but they are unable to satisfactorily articulate the causal effect, when it comes time to present the issue before a Judge.

Looking from the “outside- in”, we consider what Courts and professionals working with families are looking for from foster parents and residential programs around visitation. We will consider and evaluate; (a) the kinds of visitation individuals and programs are asked to do (b) the appropriateness and circumstances of contact with parents and siblings who may also be perpetrators of past abuse (c) safety planning as a concept in visitation (d) specific issues that come up in visitation, for example, the reintroduction of child into a family following lengthy separation (e) off site visit visitation, {i} in the family home, or {ii} in a neutral site (f) development and implementation of plans for increased and less structured visitation (g) cultural issues (h) problems where existing policies and procedures can not be utilized because of the nature of the cases; visitation in cases of Munchausen by Proxy for example.

We will also examine some of the attitude that are expressed about visitation and the effect of those attitude on treatment and planning.

Munchausen (Syndrome) by Proxy

Understanding the basics of Factitious Disorders by Proxy or MBP and why it appears that an inordinate amount of time and services must be employed to analyze and uncover the syndrome. Issues concerning parental contact and permanent plans.

Non-Traditional Family? OK Placement?

With changing times, Courts are increasing being asked to consider and approve plans that previously they would not have even considered.
In the past, when a child came into care, “appropriate” family alternatives might have been looked at; while a child remained in an approved foster home or other state approved setting.

Today, we are increasingly being asked more difficult questions. Should a child remain placed with an elderly great-grandmother, be placed with a transsexual uncle or a same sex couple, or remain with terminally ill caretaker?

More and more we also consider people who may not be legally related to a specific child; a ”god-parent”, an “ex-boyfriend”, a step parent, the “half-brother’s paternal grandmother”, and others.

When faced with whether a child should return or remain with a mentally ill or cognitively limited parent, we ask; “are they good enough”.

Even foster placements for children are less traditional. Growing numbers of states encourage single parents and approve same sex couples fostering children , and also encourage multi-ethnic or “blended families” to emerge.

In this interactive workshop, we consider some of these situations and the questions that arise. We will also begin to look at how the needs of the individual child will help formulate some of the questions that need to me asked and answer in ultimately determining whether a placement really is ok…


SAFETY PLANNING FOR CHILDREN IN DEPENDENCY CASES:
Using a Multi-disciplinary approach

Safety Plans are formal arrangements, most often drafted for the Court, which will enable contact (or perhaps even placement) of a child with a parent who may have been found (or suspected) to have perpetrated some form of abuse to the child, or may pose a risk to the child for some other reason(s).

In the time allowed for this workshop, we will begin to help identify some of the safety issues and, using a multi disciplinary approach, how to employ and implement plans for contact between children and non custodial parent(s).

We will try to consider a variety of circumstances cases where the violence or trauma is of known or unknown origin; including sexual abuse, shaken baby syndrome and Munchausen syndrome by proxy.
Primary to the creation of such plans are:
      • a consideration of the case history
      • the adoption of a philosophy in which the child is visible to a wide variety of individuals, especially professional who are aware of the past abuse and/or issues
      • a method of identifying specific supports
      • development of specific plans for locating primary provider, and furnishing the pertinent information
      • additional safeguards, including legal avenues (such as employment of court orders, stipulations and voluntary releases).

Using a multi disciplinary approach, we identify what the safety issues are in various kinds of cases; primarily domestic violence cases, but also sexual abuse, shaken baby syndrome and Munchausen Syndrome by Proxy.

We examine and discuss cases where the violence or trauma is of known and unknown origin, or merely suspected.

There will be discussion on developing a formula to assess the risk to the child as well as arrangements and plans that can be put in place to minimize or negate that risk. There will also be discussion about levels of visitation and supervision needed.

Primary to any safety plan is making sure that a child is viable to a community and employing open communication which may be done in a variety of ways )


Understanding The Psychology of the Sexual Offender in the Home

      • The importance of differentiating between incest confined to an individual or family group and pedophilia
      • age and sex of victim
      • multiple victimization
      • dealing with the victim of a disclosure from the (distant) past. The importance of understanding societal context of sexual abuse disclosures.

Visitation in Dependency Cases

Looking from the “outside- in”, we consider what Courts and forensic professionals working with families are looking for from social service agencies, foster parents and residential programs around visitation. We will consider and evaluate; (a) the kinds of visitation individuals and programs are asked to do (b) the appropriateness and circumstances of contact with parents and siblings who may also be perpetrators of past abuse (c) safety planning as a concept in visitation (d) specific issues that come up in visitation, for example, the reintroduction of child into a family following lengthy separation (e) off site visit visitation, {i} in the family home, or {ii} in a neutral site (f) development and implementation of plans for increased and less structured visitation (g) cultural issues (h) problems where existing policies and procedures can not be utilized because of the nature of the cases; visitation in cases of Munchausen by Proxy for example.

We will also examine some of the attitude that are expressed about visitation and the effect of those attitude on treatment and planning.