KEEP by yaofenjin



Keeping foster and kinship parents
     trained and supported

        Familjeforum's KEEP-team

•   Liv Nilsson, program-supervisor
•   Anneli Andersson, facilitator
•   Jennie Börjhagen, co-facilitator

•   Who are we that work with KEEP?
•   Status of foster care in Sweden?
•   What is KEEP?
•   KEEP in USA
•   KEEP in Sweden
•   KEEP and MTFC

            The status of foster-care in
•   The government's investigation of maltreatment within the
    social services for children showed serious abuse and
    maltreatment in institutions and in foster homes between the
    20's and the 90's

•   The Child Welfare Inquiry recommends that the Social
    Welfare Board's responsibility to educate, support and guide
    the fosterhomes should be more clearly emphasized in the

       What becomes of the placed
               children ?
•   The children who have been placed in foster homes are at risk
    for future adverse outcomes such as suicide, suicide
    attempts, severe mental illness, addiction, crime, teenage
    parenthood, supply problems and more. (Vinnerljung 2009)

•   The primary adverse outcome appears to be school and
    education. (Vinnerljung 2009)

•   The breakdown frequency among children in foster care aged
    5-11 years is 37% (Jönsson 1995)

Fostercare + scientific evidence =?
•   MTFC, tested and researched, good effect!
•   Pride, limited research material indicating
    moderate or no effect.
•   Consultant Supported foster care, not studied.

                      KEEP - Basics

•   Addressing foster families with children aged 5-12 years.

•   16 group sessions, once a week.

•   The sessions last for 60-90 minutes.

•   The sessions are led by two course leaders.

•   The groups consist of 4-10 foster parents.

•   At each session a new skill is taught and feedback and
    support is given.

•   Group sessions are designed to be informative and fun.

•  Course leaders call every week to the fosterfamilies and
collect the PDR.
•  Homework.
•  Each session is filmed.
•  Missed sessions will lead to makeup-sessions.
•  Refreshments will be served.
•  Babysitting is offered when needed.

                      KEEP in USA
•   The San Diego Project.

•   RCT study in which over 700 foster families were offered

•   The results showed that the families who where offered KEEP
    reduced the number of behavioral problems of the child,
    decreased the amount of breakdown and increased output
    of successful exits).

•   Research and implementation linked to OSLC Oregon Social
    Learning Center.

               KEEP in Sweden
•   Collaboration between the School of Social
    Work, Oregon Social Learing Center and INOM
•   Ongoing marketing efforts to link
    municipalities and foster homes to KEEP.
•   All cases are studied.

                KEEP in Sweden
• Implementation in four steps:
• 1.   Training of a KEEP-team (fall 2010)
• 2. Implementation     of KEEP-groups (ongoing)
• 3. Certification   Process
• 4. Training of   new KEEP-teams

               KEEP in Sweden
•   Voice-over and streaming of the film material.
•   Cultural adaptations of the manual.

       Structure of the KEEP-team
•   Counselor
•   Supervisor
•   Facilitator
•   Co-faciliatator

               The chapters in KEEP
•   Foster parents as teachers, the importance of cooperation.

•   Foster parents as teachers, teaching new behaviors.

•   Using charts and incentives.

•   Setting limits.

•   Discipline strategies

•   Balancing encouragement and limit setting.

•   Avoiding power struggles.

•   Pre-teaching
•   Super tough behaviors.
•   Promoting school success.
•   Promoting positive peer relations.
•   Supporting the child´s contact with the biological system.
•   Stress management.

                A taste of KEEP
1.   A practical approach where role play is used
     as a technique to practice the skill ”how to
     ignore negative behavior”.
2.   Role play is one of many techniques used in
     Keep. It is often used to give the parents
     opportunity to practice new skills and also a
     way to give them a better understanding of
     the child´s situation.

    What tools or approaches can be
            used in MTFC?
•   Track concrete behaviors , ”what is the child doing”

•   ”Catch them being good”, focus on positive behavior

•   ”The things you give attention to you get more of”

•   Asking explorative questions

•   Giving suggestions of alternative strategies

•   The chart should always include a behavior that the child
    already manages

•   Reasonable expectations of the child achievements , when to
    reward the child?
•   The four roles of foster homes: teacher, detective,
    guardian angel and referee.
•   Stick to your plan when dealing with behaviors.
•   To train behaviors by making formal / informal
•   Pre-teaching.
•   The balance between positive reinforcement and limit
•   How to use predictable consequences for the child.
•   To avoid power struggles.
•   Stress management.
•   Escalation curve.
•   Roleplay.                            
     Differences between KEEP and
•   The KEEP-facilitator is explorative and
    advisory, not controlling.
•   KEEP is addressed to the foster homes who
    have children in the right age and are
    interested, we have not chosen foster homes.
•   Foster homes may have multiple placements.

Thank you for your attention!

             Readable about KEEP





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